Ally Behavioral Health LLC
Clinic/Center, Methadone Clinic in Hazard, KY. Organization (NPI-2).
NPI number1649090804
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1649090804
- Entity type
- Organization (NPI-2)
- Legal business name
- Ally Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2024
- Certification date
- Oct 22, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
1616 N Main StHazard, KY 41701-1251
Phone 888-920-9004
Mailing address
1890 Star Shoot Pkwy Ste 170-101Lexington, KY 40509-4566
Phone 888-920-9004
Authorized official
Shawn Smith
President
7753000282
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