| NPI | 1932505427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEDRICK TEMBO Executive Director 502-413-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 810401) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: KY 810451) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2016-02-22 |