| NPI | 1306039441 |
|---|---|
| Doing Business As | DVD |
| Entity Type | Organization |
| Authorized Contact | CALVIN GIBSON BANKS CAO 859-402-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |