| NPI | 1316486954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA SIGMON Consultant 859-608-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |