| NPI | 1841450665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESH L GHANTA Owner 859-737-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY ky35740) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: KY ky32188) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2011-06-15 |