| NPI | 1104556588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA STUMBO Owner 606-359-0700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251B00000X Case Management | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-03-01 |