| NPI | 1861172983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SAYLOR CASTANEDA Clinical Psychologist 859-287-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |