| NPI | 1073943874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL MARIE SHARP Diversion Specialist 859-254-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 2013-07) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |