Organization
ADDICTION RECOVERY CARE LLC
Active
Other names
River Place
Organization subpart
No
Provider details
NPI number
Authorized official
CHEYENNA RUNYON (DIRECTOR OF CREDENTIALING)
(606) 638-0938
Entity
Organization
Contact information
Practice address
8015 MILLARD HWY, PIKEVILLE, KY 41501-8106
(606) 638-0938
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800133
BHSO
KY
01
—
810348
AODE
KY
Enumeration date
04/25/2019
Last updated
06/11/2019
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