| NPI | 1336188788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E ELLIOTT President 859-219-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-10-18 |