| NPI | 1174218465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES EGGERS Owner 859-629-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |