| NPI | 1275346546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWA JOBE JALLOW Owner 502-224-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |