| NPI | 1689454126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARVIS PEELE Secretary 502-910-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School |
| Additional Taxonomies | 347B00000X Bus |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 305S00000X Point of Service | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 174200000X Meals | |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |