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 |