| NPI | 1457488744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAGY CFO 606-218-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: KY 730093) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-05-29 |