| NPI | 1790674679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED BILLOW CEO 502-379-7942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |