Mystyk River Retreat Center, LLC
NPI #1629236070 in Carrollton, Kentucky
Provider Information
- NPI Number
- 1629236070
- Entity Type
- Organization
- Organization Name
- Mystyk River Retreat Center, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 1, 2008
- Last Updated
- Jun 1, 2008
Practice Location
- Address
- 1732 KINGSRIDGE RD
- City
- Carrollton
- State
- Kentucky
- ZIP Code
- 41008-8655
- Phone
- (502) 732-9938
Authorized Official
- Name
- GARNET ELEANOR WORTHINGTON, LMT
- Title
- MANAGER/CO-OWNER
- Phone
- (502) 732-9938
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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