| NPI | 1265893598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J BUCHHOLZ Owner 502-561-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: KY 482) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |