| NPI | 1154579050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM YOUNG Medical Center Director 859-288-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: KY 3109) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |