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 |