| NPI | 1578234449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNDA CARTER CEO 859-274-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2022-08-13 |