| NPI | 1952433112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S. TAYLOR Company Troller 606-487-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251X00000X | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |