| NPI | 1386743037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD A MIAN Psychiatrist 502-499-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 425) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-08-12 |