| NPI | 1982235636 |
|---|---|
| Doing Business As | HEALTHCARE 12 |
| Entity Type | Organization |
| Authorized Contact | GEARLINE MONHOLLEN Owner 859-525-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2023-03-09 |