Organization
LAKE CUMBERLAND RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKKLE LEE HAMPTON (CEO)
(606) 516-9939
Entity
Organization
Contact information
Practice address
202 N MAIN ST, SOMERSET, KY 42501-1405
(606) 341-1160
Mailing address
PO BOX 305, BURNSIDE, KY 42519-0305
(606) 618-9966
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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