| NPI | 1275256323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN ELBERT Owner 859-312-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |