| NPI | 1427371426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ROSE Contracting Specialist 502-489-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |