| NPI | 1720366115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY F. MEBS CEO 859-760-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KY 1097) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 0225) |
| 1041C0700X Social Worker, Clinical (Licence: KY 1097) | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2016-08-25 |