Organization
CHURCH OF ACTS FELLOWSHIP INTL INC
Active
Other names
facing reality program
Organization subpart
No
Provider details
NPI number
Authorized official
GARDNER G YATES CLERGY (C.E.O/CONSULTANT)
(502) 330-9055
Entity
Organization
Contact information
Practice address
114 VALLEY BROOK DR, FRANKFORT, KY 40601-4263
(502) 330-9055
Mailing address
114 VALLEY BROOK DR, FRANKFORT, KY 40601-4263
(502) 330-9055
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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