NPI | 1023415692 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE STEPHENS Executive Director 502-633-1315 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: KY KY-0060) |
Additional Taxonomies | 251S00000X (Licence: KY 1519) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2014-11-26 |