Individual provider · Type 1 NPI
Gloria D. Young
Mental Health Clinic/Center (Including Community Mental Health Center) · Paducah, KY
NPI number
1306909635
Active
Practice location
Lifeline Recovery Center, 2806 Morgan Lane
Paducah, KY 42001
Fax (270) 443-4717
Mailing address
Lifeline Recovery Center, PO Box 7652
Paducah, KY 42002-7652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1306909635
Gloria D. Young's National Provider Identifier is 1306909635, issued on Dec 18, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Paducah, KY. The record was last updated on Aug 11, 2021.