Organization
RESILIENT THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MAKOWSKI (MEMBER)
(512) 826-1243
Entity
Organization
Contact information
Practice address
1512 W HIGHWAY 42, LA GRANGE, KY 40031-9554
(512) 826-1243
Mailing address
11500 VALLEY VIEW RD, LOUISVILLE, KY 40223-1353
(512) 826-1243
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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