| NPI | 1235995861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALESHA LEACHMAN Nurse Practitioner 502-472-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-10-03 |