Organization
PINNACLE TREATMENT CENTERS KY-1, LLC
Active
Organization
PINNACLE TREATMENT CENTERS KY-1, LLC
Active
Other names
Recovery Works Elizabethtown
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
(856) 533-8762
Entity
Organization
Contact information
Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 982-1244
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
800174
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
800174
KY
324500000X
Substance Abuse Rehabilitation Facility
Primary
800174
KY
Other
Enumeration date
09/16/2015
Last updated
03/18/2022
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