| NPI | 1861378168 |
|---|---|
| Doing Business As | PALESTINE MEDICAL GROUP: BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHNETTA TRAYLOR Administrator 502-596-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |