| NPI | 1386848836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ERIC GALLEHR President 502-727-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: KY 29766) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: KY 29766) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2011-06-29 |