Organization · Type 2 NPI
Raven Rock Wellness Center LLC
Adult Mental Health Clinic/Center · Stanton, KY
NPI number
1114632577
Active
Practice location
221 Halls Rd
Stanton, KY 40380-2027
Fax (606) 552-0964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1114632577
Raven Rock Wellness Center LLC's National Provider Identifier is 1114632577, issued on Jan 20, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Stanton, KY. The record was last updated on Jan 20, 2023.