NPI | 1730947532 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE TASEDAN Owner 859-329-3618 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-03-07 |