| NPI | 1245923481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON FORD CEO 859-300-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2025-11-18 |