| NPI | 1598622847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDA LYNETTE PORTER Executive Director 502-417-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |