NPI | 1811578297 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN BIONE Therapist/Owner 502-287-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-04-18 |
Last Update Date | 2021-04-18 |