| NPI | 1790980464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WATHA WRAY Executive Director 502-456-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KY 9224) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-09-17 |