NPI | 1396945432 |
---|---|
Other Name | CLINICAL CONSULTING PRACTICE, PLLC |
Entity Type | Organization |
Authorized Contact | JIMALEE Y ROSS Director 606-495-5478 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: KY 3019) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2007-07-18 |