NPI | 1992412506 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY BASSEL Owner 859-475-7650 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
2084P0800X Psychiatry & Neurology Psychiatry | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2022-11-02 |
Last Update Date | 2025-03-12 |