NPI | 1861024424 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON CALES Owner 502-492-7455 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
101YP2500X Counselor Professional | |
1041C0700X Social Worker Clinical | |
207L00000X Anesthesiology | |
207LA0401X Anesthesiology Addiction Medicine | |
207LP2900X Anesthesiology Pain Medicine | |
207QA0401X Family Medicine Addiction Medicine | |
207R00000X Internal Medicine | |
2084A0401X Psychiatry & Neurology Addiction Medicine | |
208VP0000X Pain Medicine Pain Medicine | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2020-02-11 |
Last Update Date | 2022-08-30 |