| NPI | 1871257311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBETH UPCHURCH Operations Associate 859-623-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |