| NPI | 1043101736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF HOSKINS Owner 859-286-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |