| NPI | 1013569755 |
|---|---|
| Doing Business As | LACKEY |
| Entity Type | Organization |
| Authorized Contact | TIMMY ROBINSON CEO 606-638-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |