NPI | 1194207910 |
---|---|
Other Name | DENOVA |
Entity Type | Organization |
Authorized Contact | JANA JACOBSON Practice Manager 859-552-1272 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
207P00000X Emergency Medicine | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2018-08-29 |
Last Update Date | 2020-08-12 |