| NPI | 1770290553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BOOKER Owner/Doo 502-682-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |