| NPI | 1902021116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BOHEN President 606-783-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 2096S) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-01-20 |