Organization · Type 2 NPI

Isaiah House Inc

Addiction Medicine (Psychiatry & Neurology) Physician · Danville, KY

NPI number 1366911893 Active

Practice location

975 Hustonville Rd Ste 7
Danville, KY 40422-2165

Fax (859) 375-9202

Mailing address

PO Box 188
Willisburg, KY 40078-0188

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

3 other providers at this address

About NPI 1366911893

Isaiah House Inc's National Provider Identifier is 1366911893, issued on Nov 14, 2018. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Danville, KY. The record was last updated on Jan 22, 2021.