| NPI | 1902000631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GALE CRUM Director 606-473-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: KY ST37217) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-03-12 |