| NPI | 1730410275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M COLBY Owner 270-707-8077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 22624) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2020-06-12 |