| NPI | 1548551054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX ALBERT OLASH Medical Director 502-897-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 3006727) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |