Organization
EAST KENTUCKY REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GEARHEART CADC (PRESIDENT/CEO)
(606) 263-4714
Entity
Organization
Contact information
Practice address
290 E COURT ST, PRESTONSBURG, KY 41653-7932
(606) 263-4714
Mailing address
PO BOX 2003, PRESTONSBURG, KY 41653-2003
(606) 263-4714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
1061
KY
101YP2500X
Professional Counselor
1360
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1061
KY
324500000X
Substance Abuse Rehabilitation Facility
810498
KY
Other
Enumeration date
11/06/2013
Last updated
03/03/2025
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