Organization
JUNIPER TREE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CAUDILL (OWNER)
(606) 471-5887
Entity
Organization
Contact information
Practice address
199 WILLIAMS AVE, OWINGSVILLE, KY 40360
(859) 347-5500
Mailing address
199 WILLIAMS AVE, OWINGSVILLE, KY 40360
(859) 347-5500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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