| NPI | 1528209350 |
|---|---|
| Doing Business As | CHILDREN AND YOUTH PROJECT-ADOLESCENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERARD RABALAIS Chairman 502-852-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: KY 29710) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2012-07-09 |