| NPI | 1366835381 |
|---|---|
| Former Name | LINDSEY KANADY SORRELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |