NPI | 1972668150 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA EDGE Program Manager 270-686-8123 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: KY 750047) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2008-06-23 |