NPI 1144044728

Allegiance to Self Recovery

Organisation Substance Abuse Rehabilitation Facility Louisville, KY

Practice location

Address: 3711 W Broadway, Louisville, KY 40211-2847
Phone: (502) 322-2065
Mailing address: 9508 Yellow Pine CT, Louisville, KY 40229-1642

Authorised official

Name: Antwone Shaw
Title: Ceo
Phone: (502) 322-2065

Registered specialties (6)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Kentucky →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

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Recovery Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0800X

Registry record

NPI: 1144044728
Entity type: Organization
NPI issued: 11 Nov 2024
Record last updated: 10 Dec 2024

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.