| NPI | 1164638516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER C FROMMEYER Executive Director 502-459-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-05-09 |