Organization
A RENEWED MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA MARIE BRUCE (OWNER)
(502) 773-8783
Entity
Organization
Contact information
Practice address
714 LYNDON LN STE 8, LOUISVILLE, KY 40222-4643
(502) 773-8783
(502) 412-1405
Mailing address
714 LYNDON LN STE 8, LOUISVILLE, KY 40222-4643
(502) 773-8783
(502) 412-1405
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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