Organization
IMPACT OUTPATIENT PROGRAM LLC
Active
Other names
ROBERT ALEXANDER CENTER FOR RECOVERY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN THORNSBERRY (MANAGER)
(502) 439-2248
Entity
Organization
Contact information
Practice address
1200 N BARDSTOWN RD STE A2, MT WASHINGTON, KY 40047-7669
(502) 439-2248
Mailing address
1200 N BARDSTOWN RD STE A2, MT WASHINGTON, KY 40047-7669
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
09/02/2025
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