NPI | 1730421553 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMMY G ROBINSON CEO 606-638-0938 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 810348) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2013-03-19 |
Last Update Date | 2024-11-18 |