| NPI | 1609652155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN LEA MARTIN President 606-232-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |