| NPI | 1316401193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE FRANCIS WILKINSON Executive Director 859-816-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2022-02-01 |