| NPI | 1790114015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GEARHEART President/CEO 606-263-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KY 1061) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 1061) | |
| 101YP2500X Counselor, Professional (Licence: KY 1360) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 810498) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2016-02-19 |