| NPI | 1053539270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY L. STEVENS Psycologist 859-276-5285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 406) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |