Organization
ASAP ADDICTION TREATMENT LLC
Active
Parent organization
ALCOHOL AND SUBSTANCE ABUSE PROFESSIONALS, LLC
Other names
ASAP Addiction Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALCOHOL AND SUBSTANCE ABUSE PROFESSIONALS, LLC
Authorized official
EUGENE SISCO (ADMINISTRATOR)
(606) 437-0097
Entity
Organization
Contact information
Practice address
400 VENTERS LN, PIKEVILLE, KY 41501-3016
(606) 437-0097
(606) 657-0205
Mailing address
400 VENTERS LN, PIKEVILLE, KY 41501-3016
(606) 437-0097
(606) 657-0205
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
KY
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100333920
—
KY
Enumeration date
01/06/2015
Last updated
07/21/2022
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