| NPI | 1821408485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LEE MESSER Therapist, Administrator, Board 270-689-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KY 0843) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |