| NPI | 1437241551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN M JOSEPHSON Director/CEO 502-852-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |