| NPI | 1316450554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK R. YEWELL Owner/Manager 859-457-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 14719) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |