Organization
CYPRESS COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SHREVE GIBSON (OWNER)
(502) 352-1443
Entity
Organization
Contact information
Practice address
311 ARBOLADO DR, FRANKFORT, KY 40601-4610
(502) 352-1443
Mailing address
311 ARBOLADO DR, FRANKFORT, KY 40601-4610
(502) 352-1443
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
279077
KY
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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