| NPI | 1568023661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA STRICKLAND Owner 502-744-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2021-12-09 |