| NPI | 1386287837 |
|---|---|
| Doing Business As | KENTUCKY CHRISTIAN RECOVERY RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN THOMAS WEST Owner 270-799-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |