Organization
PASSAGEWAYS MEDICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE D. ATHERTON (SECRETARY/ DIRECTOR OF LEGAL AFFAIR)
(502) 424-4452
Entity
Organization
Contact information
Practice address
4006 DUTCHMANS LN, LOUISVILLE, KY 40207-4704
(502) 837-7517
Mailing address
4006 DUTCHMANS LN, LOUISVILLE, KY 40207-4704
(502) 837-7517
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/18/2015
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