| NPI | 1487128070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRISEYDA ALAS Family Therapist 502-893-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |