| NPI | 1518553874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE HATFIELD Owner 270-589-9498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133N00000X Nutritionist |
| 163W00000X Registered Nurse | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2024-09-03 |