| NPI | 1629646526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGY R HUNTER President/CEO 502-551-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |