| NPI | 1093050668 |
|---|---|
| Other Name | WAIVER SERVICES |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WHOBREY Provider Enrollment 502-630-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2021-10-28 |