| NPI | 1093538027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FIGUEROA Owner 502-309-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-12-06 |