| NPI | 1538779640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLYE SINGLETARY Co Owner 502-625-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-03-06 |