| NPI | 1619381159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J KRONENBERG Co Owner 502-868-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |