| NPI | 1548972003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY GRAVES Ap RN 502-548-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2024-03-27 |