Organization
DESTINY ADULT, CHILD & FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WADE WATSON (OWNER/DIRECTOR OF OPERATIONS)
(270) 202-3595
Entity
Organization
Contact information
Practice address
701 DISHMAN LANE EXT STE 3, BOWLING GREEN, KY 42104-4033
(270) 495-1609
(270) 599-0399
Mailing address
701 DISHMAN LANE EXT STE 3, BOWLING GREEN, KY 42104-4033
(270) 495-1609
(270) 599-0399
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2011
Last updated
11/17/2023
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