| NPI | 1265079941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE E LEMASTER Executive Director 859-227-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |