Organization · Type 2 NPI

Dr. William H. Fuller Memorial Substance Abuse Treatment Center

Mental Health Clinic/Center (Including Community Mental Health Center) · Mayfield, KY

NPI number 1164964201 Active

Practice location

1525 Cuba Rd
Mayfield, KY 42066-6809

Fax (270) 247-0142

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	810023 (KY)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

13 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Mayfield

Mind, Body, Soul, LLCMental Health Clinic/Center (Including Community Mental Health Center) Mayfield, KY NPI 1033674254

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NPI record

NPI: 1164964201
Entity type: Organization (Type 2)
Issued: Nov 7, 2016
Last updated: Apr 6, 2023
Status: Active
Subpart: Yes of Western Ky Regional MHMR Board Inc

Other names

<unavail>
Four Rivers Behavioral Health · doing business as
Four Rivers Behavioral Health · doing business as

Authorized official

Mr. Terry Hudspeth, MSSW
President/ceo
(270) 441-2171

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164964201

Dr. William H. Fuller Memorial Substance Abuse Treatment Center's National Provider Identifier is 1164964201, issued on Nov 7, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mayfield, KY. The record was last updated on Apr 6, 2023.