| NPI | 1942345194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GILES Financial Director 606-679-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KY 007721970) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-03-27 |