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