| NPI | 1245498872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN W FLORELL CEO 859-358-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-02-13 |