| NPI | 1962787572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARAD PATEL Psychiatrist 270-300-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: KY 20851) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2012-09-26 |