| NPI | 1386287290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND SCOTT WILLIAMS Sole Member 502-210-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |