| NPI | 1679359657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA B SCHULTZ Owner & CEO 502-235-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-03-19 |