| NPI | 1689559015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELANDA MATTHEWS Family Care Coordinator 859-436-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |