| NPI | 1922214956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI W HANCOCK Business Office Manager 859-268-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: KY 100534) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 106H00000X Marriage & Family Therapist | |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-02-12 |