Organization · Type 2 NPI
Community Addiction Recovery LLC
Addiction Medicine (Preventive Medicine) Physician · Stanton, KY
NPI number
1356022693
Active
Practice location
436 South Main St
Stanton, KY 40380-2189
Fax (606) 663-7652
Mailing address
PO Box 1029
Stanton, KY 40380-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | None listed |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
3 other providers at this address
About NPI 1356022693
Community Addiction Recovery LLC's National Provider Identifier is 1356022693, issued on Jul 28, 2023. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Stanton, KY. The record was last updated on Aug 18, 2023.