| NPI | 1063909067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JOHNS CEO 859-354-9841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-11-23 |