| The House | |
|
1401 Bluegrass Ave Louisville KY 40215-1203 | |
| (502) 356-5939 | |
| Not Available |
| Full Name | The House |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1401 Bluegrass Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Keith Butler (CEO) |
| Authorized Official Contact | 5023565939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The House Po Box 58074 Louisville KY 40268-0074 Ph: (502) 356-5939 | The House 1401 Bluegrass Ave Louisville KY 40215-1203 Ph: (502) 356-5939 |
| NPI Number | 1255180063 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255180063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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