Organization
KENTUCKY RIVER CHILDREN'S ADVOCACY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA W QUILLEN (EXECUTIVE DIRECTOR)
(606) 487-9173
Entity
Organization
Contact information
Practice address
465 CEDAR ST, HAZARD, KY 41701-1511
(606) 487-9173
(606) 487-1644
Mailing address
465 CEDAR ST, HAZARD, KY 41701-1511
(606) 487-9173
(606) 487-1644
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13000062
—
KY
Enumeration date
02/05/2007
Last updated
08/22/2020
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