| NPI | 1982079059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE GREATER Director 502-454-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: KY ADCADC00194202) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |