| NPI | 1043499239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KAY HOWARD Administrative Specialist Iii 502-564-7213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |