| NPI | 1912186636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SMITH President 606-325-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 02943) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2023-03-07 |