| NPI | 1578011326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY MOORE Owner Executive Director 606-928-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 225100000X Physical Therapist | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2020-02-17 |