NPI | 1205077294 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER E FISHER Owner 502-552-3107 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34003596A) |
Enumeration Date | 2009-03-20 |
Last Update Date | 2009-03-20 |