| NPI | 1104548585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE COLLINS Co Owner 606-657-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |