| NPI | 1306332564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN DAVENPORT Owner 859-620-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YP2500X Counselor, Professional | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 101YM0800X Counselor, Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 164W00000X Licensed Practical Nurse | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2026-06-04 |