| NPI | 1003412214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAELA PATTERSON Executive Director 606-425-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |