| NPI | 1972902526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P MONTGOMERY CEO 270-686-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 1001935) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |