| NPI | 1962540864 |
|---|---|
| Doing Business As | ACTIVE DAY OF LOUISVILLE AUDUBON PARK |
| Entity Type | Organization |
| Authorized Contact | KRIS W. BALDOCK President 443-548-2201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-09-26 |