| NPI | 1689073751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DEE SHULTZ Owner 859-277-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: KY 810399) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2021-07-19 |