| NPI | 1659582864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE MATTINGLY Director 502-630-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2025-06-19 |