| NPI | 1265956353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DEE SHULTZ Owner 859-498-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 800172) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2021-07-19 |