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Organization
ALLY BEHAVIORAL HEALTH LLC
Active
Organization
ALLY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SMITH (PRESIDENT)
(775) 300-0282
Entity
Organization
Contact information
Practice address
1616 N MAIN ST, HAZARD, KY 41701-1251
(888) 920-9004
Mailing address
1890 STAR SHOOT PKWY STE 170-101, LEXINGTON, KY 40509-4566
(888) 920-9004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/22/2024
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