Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.

NPI #1336172642 in Somerset, Kentucky

Provider Information

NPI Number: 1336172642
Entity Type: Organization
Organization Name: Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jul 9, 2006
Last Updated: Dec 26, 2013

Practice Location

Address: 130 SOUTHERN SCHOOL RD
City: Somerset
State: Kentucky
ZIP Code: 42501-3223
Phone: (606) 679-4782

Authorized Official

Name: JACK LEWIS
Title: HR DIRECTOR
Phone: (606) 679-4782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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