| NPI | 1164968830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUSANNE ORMSBY Owner 859-351-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 164013) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |