| NPI | 1720703507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LAWRENCE Director Of Operations 502-656-2429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |