| NPI | 1003225947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DOUGLAS BEYER Psychology Inte RN 502-821-7904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 0914) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |