| NPI | 1528566114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D SMITH Owner 859-276-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 363L00000X Nurse Practitioner | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2022-04-04 |