| NPI | 1104992353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. VINSON CFO 502-254-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: KY Applied for) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-05-11 |