| NPI | 1871981746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MCKENZIE Executive Director 502-587-9737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 800150) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |