| NPI | 1144848151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI POWELL Owner 859-333-1299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-10-02 |