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 |