| NPI | 1255717526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA KENSINGER President 606-638-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 800194) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |