| NPI | 1891177325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH PAUL HAAS Psychotherapist 859-488-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3627) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2016-09-13 |