| NPI | 1346466224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ENNIS Co Owner 502-429-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 1889) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0570) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: KY 3455) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |