| NPI | 1780041632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIN LYNNE KEELING Director 859-221-7975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY LPCCCA00224162) |
| Enumeration Date | 2016-01-23 |
| Last Update Date | 2016-01-23 |