Organization
LAKE CUMBERLAND RECOVERY, INC
Active
Parent organization
LAKE CUMBERLAND RECOVERY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE CUMBERLAND RECOVERY, INC.
Authorized official
MIKKLE HAMPTON (CEO)
(606) 516-9939
Entity
Organization
Contact information
Practice address
81 W HIGHWAY 80 STE B, SOMERSET, KY 42503-2700
(606) 618-9966
(606) 341-1218
Mailing address
PO BOX 305, BURNSIDE, KY 42519-0305
(606) 618-9966
(606) 341-1218
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
05/26/2021
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