| NPI | 1003943424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE J ROGERS Accts Mgr/Owner 859-983-8729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251B00000X Case Management | |
| 251S00000X | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-06-08 |