| NPI | 1790977528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CHRISTOPHER ALLEN President 859-263-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KY 0820) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-06-26 |