| NPI | 1740499904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA OMBRES Privacy Officer 502-394-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174400000X Specialist |
| 251B00000X Case Management | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-01-06 |