| NPI | 1972866713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANN LINVILLE Prgram Director/Owner 606-676-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: KY 0807848) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |