| NPI | 1043734270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KOFI KPONYOH CEO 502-542-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 273Y00000X Rehabilitation Unit | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2022-07-21 |