| NPI | 1417374943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVANIE SMITH Program Director/Therapist 859-687-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 176P00000X Funeral Director | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2017-02-17 |