Provider Demographics
NPI:1225560667
Name:CHRISTIAN APPALACHIAN PROJECT
Entity Type:Organization
Organization Name:CHRISTIAN APPALACHIAN PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:606-887-3125
Mailing Address - Street 1:485 PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-8558
Mailing Address - Country:US
Mailing Address - Phone:606-789-9791
Mailing Address - Fax:606-789-4833
Practice Address - Street 1:485 PONDEROSA DR
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-8558
Practice Address - Country:US
Practice Address - Phone:606-789-9791
Practice Address - Fax:606-789-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty