| NPI | 1346376886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA OMBRES Privacy Officer 502-394-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 109047) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-02-12 |