| NPI | 1699261529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARONICA LAWSON CEO 502-483-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2020-06-30 |