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Organization

ETOWN ADDICTION SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization

Contact information

Practice address
2645 LEITCHFIELD RD STE 104, ELIZABETHTOWN, KY 42701-8306
(270) 234-8180
Mailing address
PO BOX 897, BOISE, ID 83701-0897
(208) 367-9446

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary

Other

Enumeration date
04/17/2017
Last updated
12/26/2024
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