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 |