Organization
THE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BUTLER (CEO)
(502) 356-5939
Entity
Organization
Contact information
Practice address
1401 BLUEGRASS AVE, LOUISVILLE, KY 40215-1203
(502) 356-5939
Mailing address
PO BOX 58074, LOUISVILLE, KY 40268-0074
(502) 356-5939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
08/27/2024
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