Organization
STEPWORKS RECOVERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G INGRAM MD (OWNER)
(800) 545-9031
Entity
Organization
Contact information
Practice address
1207 WOODLAND DR, ELIZABETHTOWN, KY 42701-2709
(800) 545-9031
(270) 982-1284
Mailing address
PO BOX 6209, ELIZABETHTOWN, KY 42702-6209
(800) 545-9031
(270) 982-1284
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
251B00000X
Case Management Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
BHSO 800153
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/12/2015
Last updated
10/27/2021
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