Organization
NEW VISION RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NICHOLS MSW (OWNER)
(606) 359-3114
Entity
Organization
Contact information
Practice address
1390 W MAIN ST, WEST LIBERTY, KY 41472-2012
(606) 359-3114
Mailing address
1390 W MAIN ST, WEST LIBERTY, KY 41472-2012
(606) 359-3114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
09/06/2022
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