Organization
IMPACT OUTPATIENT PROGRAM LLC
Active
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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