| NPI | 1104455682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN PLYMALE Clinical Director 859-612-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-08-17 |