| NPI | 1306960653 |
|---|---|
| Other Name | EPSDT |
| Entity Type | Organization |
| Authorized Contact | MARCIA ADAMS CFO 606-666-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-09-19 |