| NPI | 1699079053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARANISE COLBERT BOOKER President 502-777-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |