| NPI | 1023549706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MAURICE KELSEY Therapist 502-664-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 172341) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |