| NPI | 1154909190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DANIELS Chief Administrative Officer 859-629-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-12-08 |