| NPI | 1942728472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL G BURIDI CEO 502-773-5088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IN 1784-0-ASO) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2024-01-31 |