| NPI | 1104451053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MORRISON Authorized Official 606-657-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-12-23 |