| NPI | 1023553526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HOSKINS Member 606-862-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 800237) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |