| NPI | 1437695103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVANIE SMITH Program Director 859-687-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |