Organization
CENTER FOR FAMILY AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA M BERRY (EXECUTIVE DIRECTOR)
(859) 281-1688
Entity
Organization
Contact information
Practice address
1103 N LIMESTONE STREET, LEXINGTON, KY 40505
(859) 281-1688
(859) 281-1698
Mailing address
1103 N LIMESTONE STREET, LEXINGTON, KY 40505
(859) 281-1688
(859) 281-1698
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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