| NPI | 1770878894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA G. OMBRES Assoc. Gen. Counsel/Privacy Officer 502-394-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: GA CCI001717) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-07-06 |