| NPI | 1619061470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN D COLE President/Owner 859-277-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: KY 1200) |
| 103TH0100X Psychologist Health Service (Licence: KY 1200) | |
| 103TH0100X Psychologist Health Service | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-08-09 |