| NPI | 1730421553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM 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 | 2019-02-14 |