| NPI | 1083719512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA CASTRO Owner 606-326-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 39037) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-08-31 |