| NPI | 1922427517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD WASIM SAJID Md Owner 502-645-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-08-09 |