| NPI | 1184816811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONDA JEAN HOGGE Administrative Manager 859-264-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |