| NPI | 1376930461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROGERS Manager/Psychotherapist 859-327-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY KY-1185) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |