| NPI | 1659841344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA WOODRUFF Owner 859-813-3136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2020-03-19 |