NPI | 1104965300 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY W UPCHURCH President & CEO 859-623-4080 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
261QA0600X Clinic/Center, Adult Day Care | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-08-22 |