Unbound Life LLC
NPI #1194456962 in Elizabethtown, Kentucky
Provider Information
- NPI Number
- 1194456962
- Entity Type
- Organization
- Organization Name
- Unbound Life LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 22, 2022
- Last Updated
- Jan 10, 2023
Practice Location
- Address
- 100 PAR LN STE 102
- City
- Elizabethtown
- State
- Kentucky
- ZIP Code
- 42701-9059
- Phone
- (270) 506-3385
Authorized Official
- Name
- MR. CAMERON VANCE
- Title
- ADMINISTRATOR
- Phone
- (270) 320-2605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Substance Abuse Rehabilitation Facility |
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