NPI | 1568971950 |
---|---|
Other Name | BEHAVIORAL WELLNESS CLINIC |
Other Name | LOUISVILLE OCD CLINIC |
Entity Type | Organization |
Authorized Contact | JUSTIN BRENT WALLEN Business Manager 502-319-3105 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2017-09-28 |
Last Update Date | 2021-05-25 |