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Organization
PATH TO RECOVERY, LLC
Active
Organization
PATH TO RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS N CROOK LCSW, PHD (CO-OWNER)
(502) 322-7071
Entity
Organization
Contact information
Practice address
10219 RIVERSTONE CIR, LOUISVILLE, KY 40229-5228
(502) 322-7071
Mailing address
10219 RIVERSTONE CIR, LOUISVILLE, KY 40229-5228
(502) 322-7071
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100821640
—
KY
Enumeration date
06/02/2022
Last updated
07/19/2022
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