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 |