Provider Demographics
NPI:1346696838
Name:ADDICTION RECOVERY CARE
Entity Type:Organization
Organization Name:ADDICTION RECOVERY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF STAFF TO CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-826-0142
Mailing Address - Street 1:3651 US HWY 2565
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LOUISA
Mailing Address - State:KY
Mailing Address - Zip Code:41230
Mailing Address - Country:US
Mailing Address - Phone:606-826-0363
Mailing Address - Fax:606-826-0144
Practice Address - Street 1:3651 US HIGHWAY 2565
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LOUISA
Practice Address - State:KY
Practice Address - Zip Code:41230
Practice Address - Country:US
Practice Address - Phone:606-826-0363
Practice Address - Fax:606-826-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health