| NPI | 1316623770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEE PHELPS Vice President Of Human Resources 502-443-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-26 |