| NPI | 1902647613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ACKER Owner 859-433-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |