NPI | 1992458400 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA RENEE DEATON Owner/Therapist 859-402-5892 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |