Organization
HARRIS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HARRIS (OWNER)
(606) 595-3218
Entity
Organization
Contact information
Practice address
3444 CUMBERLAND FALLS HWY STE B, CORBIN, KY 40701-9057
(606) 595-3218
Mailing address
3444 CUMBERLAND FALLS HWY, CORBIN, KY 40701-9056
(606) 492-9702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
09/12/2024
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