| NPI | 1487687174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY T MERCER Owner/President 502-241-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-07-11 |