| NPI | 1982312161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATOU CISSE Owner 502-671-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-04-27 |