| NPI | 1477350494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN TESTER Owner 859-202-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-05-30 |