| NPI | 1477335149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY E TEMPLIN Executive Director 859-270-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |