| NPI | 1679816524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M ANDERSON President 502-640-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 1528) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 102) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-04-05 |