| NPI | 1275010449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIERA WARE Owner/Therapist 502-921-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KY 252778) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |