NPI | 1982865556 |
---|---|
Entity Type | Organization |
Authorized Contact | TORI MURDEN MCCLURE President 502-588-7164 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: KY 101189) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
252Y00000X Early Intervention Provider Agency | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
251S00000X (Licence: KY 101189) | |
Enumeration Date | 2008-06-17 |
Last Update Date | 2015-06-10 |