| NPI | 1619716404 |
|---|---|
| Doing Business As | RECLAIMED DIVERGENCE |
| Entity Type | Organization |
| Authorized Contact | EMILEY MORTON Co Owner 859-559-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |