| NPI | 1568529725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY STARNS Owner 606-561-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-12-29 |