| NPI | 1881416550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADREANA M LOWERY Member 502-677-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2025-05-23 |