| NPI | 1861891541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE RICHARD NOWKA Executive Director Of Mental Health 502-303-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 810066) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2019-03-18 |