Organization
COMMUNITY ADDICTION RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAUFIK KASSIS MD (OWNER)
(606) 663-7597
Entity
Organization
Contact information
Practice address
436 SOUTH MAIN ST, STANTON, KY 40380-2189
(606) 663-7597
(606) 663-7652
Mailing address
PO BOX 1029, STANTON, KY 40380-1029
(606) 663-7597
(606) 663-7652
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
08/18/2023
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