| NPI | 1124046552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA S DRLJEVIC Md 502-640-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 39564) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |