Individual
GLORIA D YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LIFELINE RECOVERY CENTER, 2806 MORGAN LANE, PADUCAH, KY 42001
(270) 443-4743
(270) 443-4717
Mailing address
LIFELINE RECOVERY CENTER, PO BOX 7652, PADUCAH, KY 42002-7652
(270) 443-4743
(270) 443-4717
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KY-0491
CADC
KY
Enumeration date
12/18/2006
Last updated
08/11/2021
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