| NPI | 1316386063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN BAKER Ap RN 859-619-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2015-11-09 |