Organization
JAXON BROWN FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN MURPHY (PROGRAM DIRECTOR)
(270) 634-2758
Entity
Organization
Contact information
Practice address
3342 STATE PARK RD, BURKESVILLE, KY 42717-8855
(606) 688-0072
Mailing address
3342 STATE PARK RD, BURKESVILLE, KY 42717-8855
(606) 688-0072
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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