| NPI | 1053628479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN J PELLEGRINI Md 502-899-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2018-12-03 |