| NPI | 1902255359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL CHHIBBER Owner 502-419-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-06-10 |