| NPI | 1376095711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NALLEY CEO 502-244-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2024-03-21 |