| NPI | 1619384120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYA NICOLE TROWEL Owner 502-777-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY KY42891) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY KY42891) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |