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Organization

INFINITE COMMUNITY ACHIEVEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAZHEDE HIGHSMITH (CHIEF EXECUTIVE OFFICER)
(859) 313-9738
Entity
Organization

Contact information

Practice address
715 SHAKER DR STE 104, LEXINGTON, KY 40504-3674
(704) 524-3403
Mailing address
715 SHAKER DR STE 104, LEXINGTON, KY 40504-3674
(859) 313-9738

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1144558701
KY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1144558701
KY
261QM0850X
Adult Mental Health Clinic/Center
1144558701
KY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1144558701
KY

Other

Enumeration date
07/27/2018
Last updated
04/20/2021
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