Organization
LAKE CUMBERLAND REG MHMR BOARD RUSSELL ADH
Active
Other names
Adanta Group Russell ADH
Organization subpart
No
Provider details
NPI number
Authorized official
JACK LEWIS (HR DIRECTOR)
(606) 679-4782
Entity
Organization
Contact information
Practice address
259 PARKERS MILL RD, SOMERSET, KY 42501-3152
(606) 679-4782
(606) 678-5296
Mailing address
259 PARKERS MILL RD, SOMERSET, KY 42501-3152
(606) 679-4782
(606) 678-5296
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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