NPI | 1336189380 |
---|---|
Former Legal Business Name | BLUEGRASS.ORG |
Entity Type | Organization |
Authorized Contact | DEE WERLINE President/CEO 859-253-1686 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: KY 800121) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-10-12 |