| NPI | 1548633415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE YORK Owner 859-276-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2024-10-09 |