| NPI | 1831723436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA EVELYN FENTRESS Owner, Clinical Director 859-721-3259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |