| NPI | 1235174335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LYNDON GRIGSBY President 606-378-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: KY 33000803) |
| Additional Taxonomies | 251C00000X (Licence: KY 33000803) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KY 33000803) | |
| 385H00000X Respite Care (Licence: KY 33000803) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |