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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SCHANEAKA ROBERTS (DIRECTOR OF OPERATIONS)
(270) 506-0909
Entity
Organization

Contact information

Practice address
3100 COMMERCE CENTER PL STE 3276, LOUISVILLE, KY 40211-1973
(502) 409-8740
Mailing address
3100 COMMERCE CENTER PL STE 3276, LOUISVILLE, KY 40211-1973
(502) 409-8740

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
08/16/2023
Last updated
08/21/2023
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