| NPI | 1811558091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G KINDRED Owner 859-785-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-11-19 |