| NPI | 1659540334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. ABBY SHAPIRO Owner 502-893-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: KY 526) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |