NPI | 1235777533 |
---|---|
Entity Type | Organization |
Authorized Contact | JOY ROBOSA IMPERIAL-STEINER President 859-459-0796 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
251S00000X | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2019-12-17 |
Last Update Date | 2021-03-15 |