| NPI | 1104466937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NALLEY CEO 502-690-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |