| NPI | 1639579428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBELEE CHANTEL SHARP-BYRN Sole Proprieter 270-659-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 1422) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |