| NPI | 1871444265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREE DEIFEL Owner 859-797-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2026-02-03 |
| Last Update Date | 2026-05-28 |