| NPI | 1073819561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DONALD ELWYN JOY Therapist 859-806-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 780860) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |