# SPECTRUM CARE ACADEMY BLUEGRASS I

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECTRUM CARE ACADEMY, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891663340
- **Legal business name:** SPECTRUM CARE ACADEMY, INC.
- **Authorized official:** REBECCA PERALTA M.A. (OWNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (714) 673-5035

## Contact information

- **Practice address:** 1175 CANE VALLEY RD, COLUMBIA, KY 42728
- **Practice address phone:** (714) 673-5035
- **Mailing address:** 309 EVERGREEN RD., LOUISVILLE, KY 40243
- **Mailing address phone:** (714) 673-5035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2025
- **Last updated:** 10/27/2025
