| NPI | 1346612884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MARIE MILLER Director/Counselor 859-396-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 9083) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |