| NPI | 1336835073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MARIE BRUCE Owner 502-773-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |