| NPI | 1245316447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNETTA TRAYLOR AO 502-596-6063 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OK 2231) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2025-06-26 |