| 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, Psych/Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-07-05 |