| NPI | 1598565145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEMENTHIA A MINES CEO 502-509-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-08-27 |