| NPI | 1124419148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LANDON Director 859-258-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 0204) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |