| NPI | 1487540357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WHITE Um Manager 502-271-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |