| NPI | 1669003372 |
|---|---|
| Doing Business As | CRIMSON DOVE ABI |
| Entity Type | Organization |
| Authorized Contact | PERRY BLAIR Owner 502-742-4014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2022-04-05 |