| NPI | 1851450464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY LUTKE Executive Director 502-635-6397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-01-25 |