| NPI | 1376030262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME A TOMLIAN Program Director 859-576-8279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-10-02 |