| NPI | 1184813107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELWAND R POINTER Office Manager 502-363-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2015-06-08 |