| NPI | 1275940819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LEE HOLLADAY Owner 502-599-3593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 1066) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |