| NPI | 1841261914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD NORMAN Administrator 270-781-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: KY 101011) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2008-04-20 |