| NPI | 1285910109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVEH ZAMANIAN Principal Partner 502-426-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KY 1520) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: KY 1592) |
| 1041C0700X Social Worker Clinical (Licence: KY 3446) | |
| 1041C0700X Social Worker Clinical (Licence: KY 3429) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |