| NPI | 1366259855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY COLON COATES Owner 859-559-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-30 |