| NPI | 1629563473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH J MILLER Owner/Operator 859-449-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253038) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-07-17 |