| NPI | 1083331417 |
|---|---|
| Doing Business As | GATHERING CLUB |
| Entity Type | Organization |
| Authorized Contact | EDWARD JOSEPH MINNIS Executive Director/Administrator 502-365-2586 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-11-08 |