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 |