| NPI | 1629242151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE A CLARK Executive Director 606-679-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |