| NPI | 1053578443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BROWN Director Of Network Operations 859-977-8064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TC1900X Psychologist Counseling | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |