| NPI | 1215652862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADIE RAMSEY Practice Manager 502-200-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-11-01 |