NPI | 1134240393 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD PAUL EVENSEN President 859-273-1288 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
2084P0800X Psychiatry & Neurology Psychiatry | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2020-08-22 |