| NPI | 1275377640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICSHAWNA ELLERY SPALDING CEO 502-608-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |