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Impact Outpatient Program Llc
Substance Abuse Rehabilitation Facility in Mt Washington, Kentucky
NPI 1972176113

Impact Outpatient Program Llc is a Substance Abuse Rehabilitation Facility based in Mt Washington, KY. Impact Outpatient Program Llc practices in Mt Washington, KY. The NPI Number for Impact Outpatient Program Llc is 1972176113 and holds a License No. (Kentucky).

The current practice location address for Impact Outpatient Program Llc is 1200 N Bardstown Rd Ste A2, Mt Washington, KY and can be reached out via phone at 502-439-2248.

Location: 1200 N Bardstown Rd Ste A2, Mt Washington, KY, 40047-7669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972176113
Provider Name
Impact Outpatient Program Llc
Credential
Provider Entity Type
Organization
Address
1200 N Bardstown Rd Ste A2, Mt Washington, KY, 40047-7669
Phone Number
502-439-2248
Fax Number
Provider Enumeration Date
07/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 N Bardstown Rd Ste A2
City
Mt Washington
State
Kentucky
Zip
40047-7669
Phone Number
502-439-2248
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N Bardstown Rd Ste A2
City
Mt Washington
State
Kentucky
Zip
40047-7669
Phone Number
502-439-2248
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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