Organization
WOODYS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARTER (CREDENTIALING MANAGER)
(859) 737-0904
Entity
Organization
Contact information
Practice address
5990 TYRONE PIKE, VERSAILLES, KY 40383-9091
(859) 737-0904
Mailing address
5990 TYRONE PIKE, VERSAILLES, KY 40383-9091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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