Organization
MEDIATION & COUNSELING CENTER OF WESTERN KENTUCKY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LEE BAIZE SR. M.PSYCH., CCCT, CPC (PRESIDENT/CEO)
(270) 852-6516
Entity
Organization
Contact information
Practice address
2400 FRIENDSHIP DR STE B, 2400 FRIENDSHIP DRIVE, SUITE B, OWENSBORO, KY 42303-3011
(270) 852-6516
(270) 683-9771
Mailing address
2400 FRIENDSHIP DR STE B, RONALD LOGSDON COMMUNITY CENTER AT PRESIDENTS PLACE, OWENSBORO, KY 42303-3011
(270) 852-6516
(270) 683-9771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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