| NPI | 1427569219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN E LAMBERT Owner 502-409-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2019-09-23 |