| NPI | 1124896972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HELEN SHASHY Executive Director 859-629-1215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |