| NPI | 1356677033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON R BLYTHE Owner 859-341-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: KY 1304) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2024-02-05 |