| NPI | 1629123443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ELLEN PEPPERS Partner 859-572-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-06-17 |