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Organization
KENTUCKY RECOVERY LIMITED LIABILITY COMPANY
Active
Organization
KENTUCKY RECOVERY LIMITED LIABILITY COMPANY
Active
Other names
Kentucky Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NALLEY (CEO)
(502) 690-1511
Entity
Organization
Contact information
Practice address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 690-1511
Mailing address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 690-1511
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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