| NPI | 1861411092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PAUL MAYNARD Owner 859-572-3452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: KY 40199) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-11-02 |