| NPI | 1871335620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANESSA JAMES Owner 502-936-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-12-08 |