| NPI | 1417772013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MAJESTRO Psychologist, Sole Owner/Proprietor 502-762-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |