| NPI | 1124916549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM NOOR Executive Director 502-291-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |