Organization
GREEN RIVER HORIZONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA COOPER CREDENTIALING (CREDENTIALING/BILLING)
(859) 270-8099
Entity
Organization
Contact information
Practice address
451 QUISENBERRY RD, CAMPBELLSVILLE, KY 42718-8005
(270) 937-4898
Mailing address
451 QUISENBERRY RD, CAMPBELLSVILLE, KY 42718-8005
(270) 937-4898
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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