| NPI | 1841920881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH WHITAKER Owner 859-358-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-11-29 |