| NPI | 1164242491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA M. FAWBUSH Co Founder/Vice President 502-819-7863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |