| NPI | 1427866094 |
|---|---|
| Other Name | MARK HATFIELD |
| Entity Type | Organization |
| Authorized Contact | MARK HATFIELD Owner 859-414-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |