NPI | 1831234483 |
---|---|
Doing Business As | ACTIVE DAY OF LOUISVILLE HIKES POINT OPT |
Entity Type | Organization |
Authorized Contact | KRIS W. BALDOCK Chairman, CEO, President 443-548-2201 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-12-19 |