| NPI | 1285043844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MCKENZIE Executive Director 502-587-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 810005) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2017-11-01 |