| NPI | 1700161056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT SPRINKLE Revenue Cycle Manager 270-689-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2026-02-04 |