NPI 1104303478
Praxis Recovery LLC
Practice location
- Address
- 4418 Malcolm Ave, Louisville, KY 40215-1122
- Phone
- (888) 448-0302
- Mailing address
- 4418 Malcom Avenue, Louisville, KY 40215
Authorised official
- Name
- Matt Boyle
- Title
- Chief Operating Officer
- Phone
- (469) 394-9083
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1104303478
- Entity type
- Organization
- NPI issued
- 19 Jul 2018
- Record last updated
- 19 Jul 2018
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.