| NPI | 1124574488 |
|---|---|
| Doing Business As | SOBER 180 |
| Entity Type | Organization |
| Authorized Contact | PATRICK FOGARTY Director Of Buisness Development 502-585-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 1299) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-09-26 |