Organization
PRAXIS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT BOYLE (CHIEF OPERATING OFFICER)
(469) 394-9083
Entity
Organization
Contact information
Practice address
4418 MALCOLM AVE, LOUISVILLE, KY 40215-1122
(888) 448-0302
Mailing address
4418 MALCOM AVENUE, LOUISVILLE, KY 40215
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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