Organization
LAKE CUMBERLAND REGIONAL MH/MR BOARD, INC.
Active
Other names
The Adanta Group
Organization subpart
No
Provider details
NPI number
Authorized official
JACK LEWIS (HR DIRECTOR)
(606) 679-4782
Entity
Organization
Contact information
Practice address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29200037
—
KY
Enumeration date
01/08/2008
Last updated
12/26/2013
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