is a Addiction (substance Use Disorder) in Louisville, Kentucky. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1528225505. The last update date is .
's current location address is 914 E Broadway, Louisville, Kentucky. You can contact this provider via phone number 5025898600 and fax number 5025898771. The mailing address for is 914 E Broadway, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 914 E Broadway, Louisville, Kentucky |
| Phone Number | 5025898600 |
| Fax Number | 5025898771 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1528225505 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 914 E Broadway |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402041037 |
| Phone Number | 5025898600 |
| Fax Number | 5025898771 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 818 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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