| NPI | 1396458816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MOTT Owner 502-773-2827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-03-02 |