Organization
KENTUCKY ADDICTION CENTERS, LLC
Active
Organization
KENTUCKY ADDICTION CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN D FERGUSON LCADC (MEMBER)
(606) 369-4617
Entity
Organization
Contact information
Practice address
625 TECH DR, WINCHESTER, KY 40391-9662
(859) 739-3552
Mailing address
625 TECH DR, WINCHESTER, KY 40391-9662
(606) 369-4617
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
03015
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100009300
—
KY
Enumeration date
04/22/2017
Last updated
09/18/2017
Update your record
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