| NPI | 1578356580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE JOHNSON Owner 859-285-4768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-06-13 |