| NPI | 1316146327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P. STEWART Director 502-227-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-12-22 |