Organization
LAKE CUMBERLAND REG MHMR BOARD, INC.
Active
Other names
Adanta Group Acquired Brain Injury
Organization subpart
No
Provider details
NPI number
Authorized official
JACK LEWIS (HUMAN RESOURCES DIR)
(606) 679-4782
Entity
Organization
Contact information
Practice address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(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
12/26/2013
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