| NPI | 1508523903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LAKES Assistant Director 859-245-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |