| NPI | 1609676915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIQUITA WALKER Director/ Owner 502-472-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |