| NPI | 1649697640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JANE SUTTON Executive Director 502-587-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 01-160) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |