| NPI | 1003612698 |
|---|---|
| Former Legal Business Name | BLACK BUTTERFLY GROWTH CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | TRANIECE MARIE DUNCAN Owner 502-500-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |