| NPI | 1275924615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG COLLINS Sr VP Health Affairs / CFO 859-257-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2024-02-14 |