| NPI | 1235624800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA EVERHART Therapist/Manager 859-312-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252987) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2019-03-26 |