| NPI | 1417214578 |
|---|---|
| Other Name | NANCY JEAN KILPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 324500000x) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |