Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANN CORDIAL (CREDENTIALING COORDINATOR)
(606) 886-8572
Entity
Organization
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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