| 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 |