| NPI | 1689221764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA DIANE CLONTZ Clinical Treatment Director 606-364-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |