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Organization

JUNIPER TREE RECOVERY

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
05/26/2026
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