Organization
OHANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA MARIE GREGORY GRAY B.S. ED (EXECUTIVE DIRECTOR)
(606) 425-2274
Entity
Organization
Contact information
Practice address
170 N SHADY LN, EUBANK, KY 42567-7659
(606) 425-2274
(606) 802-2266
Mailing address
170 N SHADY LN, EUBANK, KY 42567-7659
(606) 425-2274
(606) 802-2266
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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