| NPI | 1134512015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA FLETCHER President 502-644-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 3793) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |