| NPI | 1881333136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS N CROOK Co Owner 502-322-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-07-19 |