| NPI | 1265205553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CARRIE TAYLOR Owner 502-548-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-12-29 |