| NPI | 1821276585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WILSON President 606-676-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2022-07-21 |