| NPI | 1114871688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRETIA DURIAS CEO 502-384-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-02-23 |