| NPI | 1043824592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBETH UPCHURCH Operations Associate 859-623-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2021-01-25 |