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 |