| NPI | 1811651532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA WARREN Director Of Enrollments 502-400-8480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |