| NPI | 1023423449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON THAYER Executive Director 606-679-6995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 7100190490) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |