| Recovery Louisville | |
|
1020 W Market St Louisville KY 40202-2630 | |
| (502) 379-7651 | |
| Not Available |
| Full Name | Recovery Louisville |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1020 W Market St, Louisville, Kentucky |
| Authorized Official Name and Position | Patrick Fogarty (DIRECTOR) |
| Authorized Official Contact | 5027446664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Louisville 1020 W Market St Louisville KY 40202-2630 Ph: (502) 379-7651 | Recovery Louisville 1020 W Market St Louisville KY 40202-2630 Ph: (502) 379-7651 |
| NPI Number | 1952846933 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 12/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952846933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1299 (Kentucky) | Primary |
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