| NPI | 1184337412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TYLER BLEVINS Administrative 859-328-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2024-09-25 |