| NPI | 1396162376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA BURNS VAUGHN Owner 859-948-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 1193) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |