NPI | 1790120103 |
---|---|
Doing Business As | JEFFERSON SALT RIVER TRAIL FOSTER CARE-MT WASHINGTON |
Entity Type | Organization |
Authorized Contact | SHARON C' DE BACA Executive Assistant To President 502-538-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency (Licence: KY 500069) |
Enumeration Date | 2013-04-30 |
Last Update Date | 2022-10-25 |