| NPI | 1952778151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMAPRIYA BALAKRISHNA Owner 502-494-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KY 37367) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |