| NPI | 1669165288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FECK Pmhnp/Employee/Office Manager 859-295-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-11-04 |