Organization
FAMILY CARE CENTER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM YOUNG M.D (MEDICAL CENTER DIRECTOR)
(859) 288-4057
Entity
Organization
Contact information
Practice address
1135 RED MILE PL, LEXINGTON, KY 40504-1172
(859) 288-4097
Mailing address
1135 RED MILE PL, LEXINGTON, KY 40504-1172
(859) 288-4097
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
3109
KY
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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