Organization
COMMONWEALTH SUBSTANCE ABUSE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL T. TONER L.C.S.W. (PROGRAM DIRECTOR/OWNER)
(859) 371-4455
Entity
Organization
Contact information
Practice address
7000 HOUSTON RD, BLDG. 400, SUITE, 43, FLORENCE, KY 41042-4873
(859) 371-4455
(859) 371-2454
Mailing address
7000 HOUSTON RD, BLDG. 400, SUITE, 43, FLORENCE, KY 41042-4873
(859) 371-4455
(859) 371-2454
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
P-45
KY
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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