| NPI | 1467825604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE D. ATHERTON Secretary/ Director Of Legal Affair 502-424-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-18 |