| NPI | 1245191386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KELLEY CEO 502-558-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |