| NPI | 1134436769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA T. PULLIAM Director Of Operations/Owner 502-682-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-10 |