| NPI | 1740840925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WILSON Executive Director 606-271-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |