| NPI | 1184145815 |
|---|---|
| Doing Business As | SMOKETOWN FAMILY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE GAY STITES Physician Owner 502-242-7458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-10-10 |