| NPI | 1548984727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS KOONE Chief Operating Officer 502-215-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2024-11-19 |