| NPI | 1417608738 |
|---|---|
| Doing Business As | PRIMARY PURPOSE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JONATHAN ALLEN Owner 859-699-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2025-09-02 |