NPI | 1356844039 |
---|---|
Doing Business As | JAKE KEURTZ CENTER |
Entity Type | Organization |
Authorized Contact | SYDNEY A AYERS Billing Manager 859-375-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-03-09 |
Last Update Date | 2018-03-09 |