| NPI | 1124887484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA LESHA CLAIBORNE CEO 859-494-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-03-31 |