| NPI | 1255180063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BUTLER CEO 502-356-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-08-27 |