| NPI | 1073634341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY VALLABH NAROLA Owner 606-432-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: KY 3002856) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-01-15 |