| NPI | 1629733936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERA M BUERKLE Licensed Marriage & Family Therapy 859-359-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2024-08-06 |