NPI | 1184216590 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA BORUM WARRINER Owner/Provider 859-957-6067 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-07 |
Last Update Date | 2023-06-30 |