| NPI | 1700539350 |
|---|---|
| Doing Business As | DDM |
| Entity Type | Organization |
| Authorized Contact | SPERLISHA VICTORIA AYENI Compliance/Operations Officer 502-384-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-04-25 |