| NPI | 1104290808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA G. OMBRES Associate General Counsel 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |