| NPI | 1811017809 |
|---|---|
| Other Name | VO NC SANDBURG |
| Entity Type | Organization |
| Authorized Contact | ANGIE MATTINGLY Provider Manager 502-381-3579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2021-06-04 |