| NPI | 1720661960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE TANJA TOADVINE Owner 859-435-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |