| NPI | 1538366604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DARLENE JOHNSON Attorney At Law 606-436-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2007-07-11 |