| NPI | 1275975955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA STEBBINS Sole Member 859-494-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: KY 46548) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2014-01-16 |