| NPI | 1629533229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY TURNER Senior Administrative Assistant 502-893-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |