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Organization

LAKE CUMBERLAND REG MHMR BOARD CDO

Active
Other names
The Adanta Group
Organization subpart
No

Provider details

NPI number
Authorized official
TRACIE HORTON (ASSISTANT TO THE CEO)
(606) 679-4782
Entity
Organization

Contact information

Practice address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
800019
KY

Other

Enumeration date
02/17/2016
Last updated
02/17/2016
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