| NPI | 1730720384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NMFDI FAMILY DEVELOPMENT INSTUTITE Practitioner 502-509-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |