| NPI | 1053692012 |
|---|---|
| Doing Business As | AWARENESS & DISCOVERY MODLIN GROUP |
| Entity Type | Organization |
| Authorized Contact | RICK N. HAMM Director Of Clinical Services 859-525-1487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2015-09-24 |