| 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 |