| NPI | 1740427780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MERCER Director 502-241-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 251000000) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |