| 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 |