| NPI | 1871051235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MARIE GREGORY GRAY Executive Director 606-425-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |