# A POINT OF CHANGES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033407143
- **Authorized official:** CHERYL LEGENA MAY (COUNSELOR)
- **Authorized official phone:** (606) 789-4779

## Contact information

- **Practice address:** 1005 BROADWAY ST, PAINTSVILLE, KY 41240-1408
- **Practice address phone:** (606) 789-4779
- **Practice address fax:** (606) 789-0381
- **Mailing address:** 1005 BROADWAY ST, PAINTSVILLE, KY 41240-1408
- **Mailing address phone:** (606) 789-4779
- **Mailing address fax:** (606) 789-0381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2011
- **Last updated:** 07/12/2011