| NPI | 1992458459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA GRAVES Owner/Provider 502-895-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |