NPI | 1407745243 |
---|---|
Entity Type | Organization |
Authorized Contact | DELANAM GBEGNON Owner 502-618-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-06-28 |
Last Update Date | 2025-06-28 |