| NPI | 1447396049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY E GRIMES Program Billing & Reimb Spvsr 502-265-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management (Licence: KY 100934) |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-10-19 |