NPI 1003621806
How LLC
Practice location
- Address
- 1446 Catalpa St, Louisville, KY 40211-1790
- Phone
- (502) 966-7253
- Mailing address
- PO Box 16036, Louisville, KY 40256-0036
Authorised official
- Name
- Tyria Cowan
- Title
- Owner
- Phone
- (502) 966-7253
Registered specialties
Substance Use Disorder Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1003621806
- Entity type
- Organization
- NPI issued
- 10 Feb 2025
- Record last updated
- 10 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.