| NPI | 1720317084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A HUNTSMAN Executive Director 606-376-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 251B00000X Case Management | |
| 251C00000X | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2010-03-31 |