Whalio Doctors

NPI 1457406613

Courage to Change, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility London, KY

Practice location

Address
474 Barbourville Rd Suite 2, London, KY 40744-9302
Phone
(606) 877-9008
Fax
(606) 877-1785

Authorised official

Name
David T Tipton
Title
Executive Director Owner
Phone
(606) 877-9008

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 3300106600 (KY)

Registry record

NPI
1457406613
Entity type
Organization
NPI issued
25 Jan 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.