| NPI | 1245787084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHAVAL PATEL Owner 859-309-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101Y00000X Counselor |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-01-31 |