NPI | 1306609128 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH ANN MANNING Owner 502-616-1905 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QI0500X Clinic/Center, Infusion Therapy | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-09 |