| NPI | 1093108474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAMA ALI Owner 859-737-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 47019) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-08-17 |