Individual provider · Type 1 NPI

Gloria Tinsley Mucker

Substance Abuse Rehabilitation Facility · Louisville, KY

NPI number 1881006450 Active

Practice location

1436 S Shelby St
Louisville, KY 40217-1107

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X6923 (KY)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1881006450

Gloria Tinsley Mucker's National Provider Identifier is 1881006450, issued on May 29, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Louisville, KY. The record was last updated on May 29, 2014.