| NPI | 1548022817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TCHOPE SIMUGOMWA COO 502-956-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-02-13 |