| NPI | 1467870022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN ALBERT GONZALEZ Office Manager 502-235-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 21507) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |