| NPI | 1811366818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MULLINS Owner/CEO 502-594-8757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: KY 003339) |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2015-09-20 |