| NPI | 1790361962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA R. BRANHAM Owner 859-533-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-05-17 |