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Organization

STEPWORKS ADDICTION RESOURCES

Active
Other names
Stepworks Addiction Research LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHERRY WILEY COOMER (ADMINISTRATOR)
(270) 982-1244
Entity
Organization

Contact information

Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 982-1244
(270) 982-1255
Mailing address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 982-1244
(270) 982-1255

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
810215
KY

Other

Enumeration date
12/29/2006
Last updated
08/22/2020
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