| NPI | 1538653639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY S FRYMAN Owner/Admin 859-569-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-02-06 |