| NPI | 1639522485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CARTER Billing Manager 859-737-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-09-18 |