| NPI | 1215218508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JEAN LANG Psychiatrist 606-864-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 44482) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-11-02 |