| NPI | 1881394468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE JENNINGS Lcsw 859-361-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2026-01-21 |