Organization
KENTUCKY WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY HINSON (AUTHORIZED OFFICIAL)
(949) 506-6162
Entity
Organization
Contact information
Practice address
2087 KINGS CHAPEL RD, CADIZ, KY 42211
(949) 506-6162
Mailing address
2915 RED HILL AVE STE A210C, COSTA MESA, CA 92626-7979
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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