| NPI | 1447144647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASHEENER BARBER Owner 502-407-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |