| NPI | 1952064503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA ANN HOPKINS Executive Director 606-259-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-04-27 |