| NPI | 1740763945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE WHITLATCH CEO/Presdient 606-408-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 111N00000X Chiropractor | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2023-10-20 |