| NPI | 1770772980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PRINGLE MOORE Owner/Physician 502-552-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: KY 19307) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2016-04-24 |