Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PROMOD BISHNOI (EXECUTIVE DIRECTOR)
(606) 886-8572
Entity
Organization
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27011014
—
KY
05
—
28011013
—
KY
05
—
30611016
—
KY
Enumeration date
08/07/2006
Last updated
12/08/2025
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