| NPI | 1083569065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA SHACOLE GLOVER Owner 859-691-0943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-04 |