| NPI | 1831760271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORITTA ROBERTS Owner 859-382-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2025-09-10 |