| NPI | 1114746336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENA RENEE MCNAIR Executive Director 502-203-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |