| NPI | 1346634995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY GORDON Unit Manager Ii 502-366-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2015-03-22 |