| NPI | 1083182216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NALLEY CEO 502-690-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2023-07-20 |