| NPI | 1154193563 |
|---|---|
| Doing Business As | THE SERGEANT'S FISH & DONUT |
| Entity Type | Organization |
| Authorized Contact | GERAIL PICKETT Advisor 502-802-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251S00000X | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |