Provider Demographics
NPI:1912553959
Name:EASTERN POINT OF RECOVERY
Entity Type:Organization
Organization Name:EASTERN POINT OF RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUFFINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:611-533-6414
Mailing Address - Street 1:253 HAGER BR
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:KY
Mailing Address - Zip Code:41216-8766
Mailing Address - Country:US
Mailing Address - Phone:615-336-4148
Mailing Address - Fax:
Practice Address - Street 1:253 HAGER BR
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:KY
Practice Address - Zip Code:41216-8766
Practice Address - Country:US
Practice Address - Phone:615-336-4148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadoneGroup - Single Specialty