| NPI | 1750996971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN THORNSBERRY Executive Director 502-433-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-01-01 |