| NPI | 1962933556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUSANNE ORMSBY Owner 859-377-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 800238) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2024-11-26 |