| NPI | 1356057566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA COOPER Credentialing/Billing 859-270-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |