| NPI | 1912764754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BROCK Director Of Operations 859-693-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |