Organization
ALCOHOL & DRUG ABUSE PREVENTION & TREATMENT SPECIALTIES, LLC
Active
Other names
RENEW Addiction Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE SISCO III (ADMINISTRATOR)
(606) 653-1503
Entity
Organization
Contact information
Practice address
4963 US HWY 23 N, SUITE 121, IVEL, KY 41642
(606) 653-1505
Mailing address
PO BOX 678, BETSY LAYNE, KY 41605
(606) 653-1505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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