| NPI | 1639932981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN DAWSON Owner 859-765-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-05-08 |