| NPI | 1932590338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEE PHELPS Vice President Of Human Resources 859-625-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 216680) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X (Licence: KY 216680) | |
| 363L00000X Nurse Practitioner (Licence: KY 216680) | |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2022-08-26 |