| NPI | 1083094932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JO SMITH Director, Central Billing Office 502-254-4258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |