| NPI | 1790443752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRADLEY ASHBY Managing Member 859-797-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |