| NPI | 1659961803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ROBERTSON Manager 502-724-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251E00000X Home Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2023-01-27 |