NPI | 1043330061 |
---|---|
Other Name | WTX BRENDA |
Entity Type | Organization |
Authorized Contact | DEENA OMBRES Privacy Officer 502-394-2387 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2007-03-31 |
Last Update Date | 2008-07-11 |