NPI | 1245900794 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM WATTS President & CEO 859-255-0075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106H00000X Marriage & Family Therapist | |
207R00000X Internal Medicine | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-09-16 |
Last Update Date | 2024-11-19 |