| NPI | 1942651310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MCKENZIE Executive Director 502-587-9737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 810479) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |