| NPI | 1851164529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALLEN WILLIAMS Owner 502-352-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2026-01-15 |