Organization
KENTUCKY RECOVERY LIMITED LIABILITY COMPANY
Active
Other names
Kentucky Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NALLEY (CEO)
(502) 690-1511
Entity
Organization
Contact information
Practice address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 690-1511
Mailing address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 690-1511
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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