| NPI | 1669113023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DADDS Chief Financial Officer 502-244-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 213E00000X Podiatrist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2024-01-02 |