| NPI | 1932566544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI LYN ROSE HAAS Owner 606-668-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY PSYPPR00216468) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: KY 41931) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |