502 Sobriety Soldiers LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Louisville, KY
NPI 1912764754 · NPPES record last updated Feb 28, 2024
Key facts
- NPI
- 1912764754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- 502 SOBRIETY SOLDIERS LLC
- Practice address
- 726 S Preston St
Louisville, KY 40203-2320 - Phone
- (502) 718-1495
- NPI assigned
- Feb 28, 2024
- Organization subpart
- No
Authorized official
- Name
- Sarah Brock, M. ED TCADC
- Title
- Director of Operations
- Phone
- (859) 693-7644
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
726 S Preston St
Louisville, KY 40203-2320
Mailing address
2133 W Market St
Louisville, KY 40212-1532
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.