| NPI | 1982060927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SPERRY Owner 859-625-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 163W00000X Registered Nurse | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |