| NPI | 1356021935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN EWING Licensed Clinical Social Worker 859-312-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |