| NPI | 1962851584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY FENN CFO 859-317-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2024-07-31 |