| NPI | 1417129628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY NEWKIRK Executive Director 502-452-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2022-07-19 |