| NPI | 1194274613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY MONEYMAKER Manager Of Clinical Services 502-548-4121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |