| NPI | 1386462562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN D WYLIE Owner 859-630-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |