| NPI | 1255621371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMELA G GILBERT Owner 859-264-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 28004) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |