| NPI | 1780854034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN BOMAR Executive Director 502-239-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |