| NPI | 1417063652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOS VERNELL THOMPSON Team Leader 502-776-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: KY 0339) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-08-11 |