| NPI | 1346396447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO SILVA Owner 270-827-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 21073) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-08-11 |