| NPI | 1528454352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DUNN Vice President 502-472-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 0146AD9349-01) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |