| NPI | 1013320837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE N. FERNANDEZ Physician/Owner 859-263-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 32567) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 32567) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |