| NPI | 1770762833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLENE MORROW Billing Clerk 606-788-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2010-06-30 |