| NPI | 1336905173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH DIX CEO 502-541-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-12-15 |