| NPI | 1134277452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEDELIS BAYENYUO MBUAGBAW Executive Director 502-223-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KY 098980) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |