Organization · Type 2 NPI
Impact Outpatient Program LLC
Substance Abuse Rehabilitation Facility · Mount Washington, KY
NPI number
1972176113
Active
Practice location
1200 N Bardstown Rd Ste A2
Mount Washington, KY 40047-7669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
Other substance abuse rehabilitation facility providers in Mount Washington
About NPI 1972176113
Impact Outpatient Program LLC's National Provider Identifier is 1972176113, issued on Jul 23, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mount Washington, KY. The record was last updated on Sep 2, 2025.