Organization
MOUNTAIN RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY A KISER (ADMINISTRATOR)
(606) 478-2777
Entity
Organization
Contact information
Practice address
76 GEORGE RD, BETSY LAYNE, KY 41605-7013
(606) 478-2777
(606) 478-2774
Mailing address
PO BOX 133, BETSY LAYNE, KY 41605-0133
(606) 478-2777
(606) 478-2774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/22/2020
Last updated
02/26/2020
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