| NPI | 1225331820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CARTER Credentials Coordinator 270-403-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 30071) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2016-03-14 |