| NPI | 1609271832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD WAYNE CREIGHTON Clinical Director 502-889-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 810211) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |