Organization
JUNNIE BROOKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN S COMBS II (SUPERVISOR)
(606) 464-3348
Entity
Organization
Contact information
Practice address
165 GOSNEYVILLE RD, CAMPTON, KY 41301-9735
(606) 662-6450
Mailing address
165 GOSNEYVILLE RD, CAMPTON, KY 41301-9735
(606) 662-6450
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
000000000
KY
Other
Enumeration date
06/04/2007
Last updated
07/01/2008
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