| NPI | 1033351010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX SCHOLTZ Owner 502-338-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2019-09-06 |