| NPI | 1184944100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACE ROBERT JONES Executive Director 606-416-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2011-08-08 |