NPI | 1588012488 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN D FERGUSON Member 606-369-4617 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY ADCLAD00222794) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-01 |