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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMPACT OUTPATIENT PROGRAM LLC

Active Organization

IMPACT OUTPATIENT PROGRAM LLC is a Substance Abuse Rehabilitation Facility organization located in MT WASHINGTON, Kentucky. NPI 1972176113 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · MT WASHINGTON, KY

Registration Details

NPI Number
1972176113
Provider Type
Organization
NPI Issued
Jul 23, 2021 (5.104802310284 yrs)
Last Updated
Sep 2, 2025

Practice Information

Address
1200 N BARDSTOWN RD STE A2
MT WASHINGTON, KY, 400477669
Browse KY providers · Browse ZIP 40047
Phone
5024392248
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Organizations in MT WASHINGTON, KY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.