| NPI | 1902596877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN RUSH ORTEGON Psychiatrist 502-849-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-06-05 |