| NPI | 1588402531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD NATHANIAL WHITEHEAD Owner 502-777-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |