| NPI | 1912694795 |
|---|---|
| Other Name | MARY HUNTERS RECOVERY GROUP |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SANDERS Billing Director 502-793-0579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2024-09-20 |