| NPI | 1881006450 |
|---|---|
| Former Name | GLORIA ANNETTE TINSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 6923) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |