| NPI | 1851998181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA NICOLE NETHERTON Practice Manager 859-248-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2024-08-07 |