| NPI | 1922299833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH WARREN POIS President 502-541-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 26754) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01041738A) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 26754) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01041738A) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |