| NPI | 1780639690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MCDONALD Chief Finance Officier 502-596-1039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 740143) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 225X00000X Occupational Therapist (Licence: KY 101130) | |
| 225100000X Physical Therapist (Licence: KY 101130) | |
| 235Z00000X Speech-Language Pathologist, | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 251B00000X Case Management (Licence: KY 740143) | |
| 251S00000X | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: KY 101130) | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: KY 100493) | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-10-02 |