| NPI | 1508500612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON M ARTIS Director Of Operations 606-547-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-09-30 |