Organization
NEXT STEP RECOVERY TRANSITIONAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (CREDENTIALING MANAGER)
(502) 630-2036
Entity
Organization
Contact information
Practice address
3500 CANE RUN RD UNIT 1, LOUISVILLE, KY 40211-1919
(502) 554-4100
(502) 632-1432
Mailing address
3500 CANE RUN RD UNIT 1, LOUISVILLE, KY 40211-1919
(502) 554-4100
(502) 632-1432
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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