Organization
GAME CHANGERS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HOLMES (CEO)
(000) 000-0000
Entity
Organization
Contact information
Practice address
1711 CYPRESS ST # 40210, LOUISVILLE, KY 40210-2047
(000) 000-0000
Mailing address
1711 CYPRESS ST # 40210, LOUISVILLE, KY 40210-2047
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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