NPI 1336835073

A Renewed Mind

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Louisville, KY

Practice location

Address: 714 Lyndon Ln STE 8, Louisville, KY 40222-4643
Phone: (502) 773-8783
Fax: (502) 412-1405

Authorised official

Name: Tonya Marie Bruce
Title: Owner
Phone: (502) 773-8783

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1336835073
Entity type: Organization
NPI issued: 14 Apr 2023
Record last updated: 14 Apr 2023

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.