Kentucky Recovery Limited Liability Company
Clinic/Center, Methadone Clinic in Louisville, KY. Organization (NPI-2).
NPI number1457952012
StatusActive
Last updated in NPPESNov 2, 2020
Details
- NPI
- 1457952012
- Entity type
- Organization (NPI-2)
- Legal business name
- Kentucky Recovery Limited Liability Company
- Organization subpart
- No
- Enumeration date
- Nov 2, 2020
- Certification date
- Nov 2, 2020
- Last updated
- Nov 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Other names
- Kentucky Recovery (Doing Business As)
Practice location
5115 S 3rd StLouisville, KY 40214-2601
Phone 502-690-1511
Mailing address
5115 S 3rd StLouisville, KY 40214-2601
Phone 502-690-1511
Authorized official
Joseph Nalley
Ceo
5026901511
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