| NPI | 1932901808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL CHHIBBER Owner 502-419-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-07-05 |