| NPI | 1346552510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANN TODD BATES President 859-806-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2010-09-09 |