| NPI | 1053733022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DUNN EVP Of Health Affairs 502-852-5184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 363L00000X Nurse Practitioner | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2015-02-20 |