| NPI | 1528180064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA MCINTOSH CEO 502-451-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 810091) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-02-11 |