| NPI | 1124394499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNA RENEE MCCOY Director 606-874-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 810255) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |