Lake Cumberland Recovery, INC
NPI #1043946783 in Campbellsville, Kentucky
Provider Information
- NPI Number
- 1043946783
- Entity Type
- Organization
- Organization Name
- Lake Cumberland Recovery, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LAKE CUMBERLAND RECOVERY, INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jul 26, 2022
- Last Updated
- Jul 26, 2022
Practice Location
- Address
- 801 S CENTRAL AVE
- City
- Campbellsville
- State
- Kentucky
- ZIP Code
- 42718-1107
- Phone
- (606) 341-1160
Authorized Official
- Name
- MIKKLE HAMPTON
- Title
- CEO
- Phone
- (606) 341-1160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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