| NPI | 1588370639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY DENNIS Credentialing Manager 859-518-8817 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-03-06 |