Organization
STRUCTURE HOUSE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET PHILPOT WATKINS (OWNER/CEO/PRESIDENT)
(606) 312-3912
Entity
Organization
Contact information
Practice address
1501 S MAIN ST UNIT G2, LONDON, KY 40741-2091
(606) 312-3912
(606) 260-8634
Mailing address
403 WHITLEY ST, LONDON, KY 40741-2041
(606) 312-3912
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
12/27/2022
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