| NPI | 1184459265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASTITY LYNN GRIFFIN Owner 859-333-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |