| NPI | 1669234373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH THOMAS Owner 502-791-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |