| NPI | 1457736910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLETUS SAVIO CARVALHO Authorized Official 859-263-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2019-06-14 |