COMMONWEALTH SUBSTANCE ABUSE SPECIALIST
Organization (NPI-2)
Active
Early Intervention Provider Agency
Provider Information
- NPI Number
1659521920- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7000 HOUSTON RD BLDG. 400, SUITE, 43, FLORENCE, KY, 410424873
- Phone
- (859) 371-4455
- Fax
- (859) 371-2454
Specialties & Taxonomies
Early Intervention Provider Agency
Primary License: KY #p-45