| NPI | 1174958474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CRAWHORN CEO 270-250-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |