| NPI | 1538610514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY E BROWN Co Pastor 859-255-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 252141) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |