| NPI | 1346466224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ENNIS Co Owner 502-429-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 3455) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 1889) |
| 106H00000X Marriage & Family Therapist (Licence: KY 0570) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-09-11 |