| NPI | 1205541018 |
|---|---|
| Doing Business As | EMILY BURBANK |
| Entity Type | Organization |
| Authorized Contact | EMILY BURBANK Owner 502-625-5265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-03-29 |