502 Sobriety Soldiers LLC
Substance Abuse Rehabilitation Facility in Louisville, KY. Organization (NPI-2).
NPI number1912764754
StatusActive
Last updated in NPPESFeb 28, 2024
Details
- NPI
- 1912764754
- Entity type
- Organization (NPI-2)
- Legal business name
- 502 Sobriety Soldiers LLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2024
- Certification date
- Feb 28, 2024
- Last updated
- Feb 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
726 S Preston StLouisville, KY 40203-2320
Phone 502-718-1495
Mailing address
2133 W Market StLouisville, KY 40212-1532
Authorized official
Sarah Brock
Director Of Operations
8596937644
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