| NPI | 1215009691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A SNIDER Business Owner 859-341-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 16835) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-09-09 |