Organization
CORNER OF HOPE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEDRICK TEMBO (EXECUTIVE DIRECTOR)
(502) 413-0102
Entity
Organization
Contact information
Practice address
1811 STANDARD AVE, LOUISVILLE, KY 40210-1639
(502) 413-0102
Mailing address
1811 STANDARD AVE, LOUISVILLE, KY 40210-1639
(502) 413-0102
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
810401
KY
3245S0500X
Children's Substance Abuse Rehabilitation Facility
810451
KY
Other
Enumeration date
11/10/2014
Last updated
02/22/2016
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