| NPI | 1811107436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LOY Accountant 270-384-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: KY 950004) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |