| NPI | 1831197953 |
|---|---|
| Other Name | CCSHCN |
| Entity Type | Organization |
| Authorized Contact | DIANA L BAKER Branch Manger Provider Relations 502-429-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2010-09-07 |