| NPI | 1700145364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN YOFFE VP Of Finance And Operations 502-568-7896 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2013-06-07 |