Organization
PINNACLE TREATMENT CENTERS, LLC D/B/A RECOVERY WORKS PADUCAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
(856) 533-8762
Entity
Organization
Contact information
Practice address
4747 OLD DUBLIN RD, MAYFIELD, KY 42066-8404
(270) 623-8500
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
(502) 867-7978
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
KY
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/23/2020
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