NPI | 1881454981 |
---|---|
Entity Type | Organization |
Authorized Contact | TONJALIA L TYUS President 502-500-4772 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-08-28 |