| NPI | 1366808875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE PREWITT Managing Partner 502-352-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2019-02-12 |