Organization
TRANSFORMATION HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IREESH GRAY (OWNER)
(502) 822-9672
Entity
Organization
Contact information
Practice address
3400 VERMONT AVE, LOUISVILLE, KY 40211-2923
(502) 822-9672
Mailing address
249 S 39TH ST, LOUISVILLE, KY 40212-2505
(502) 822-9672
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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