Individual provider · Type 1 NPI
Misty Wease
Substance Abuse Rehabilitation Facility · Magnolia, KY
NPI number
1508607169
Active
Practice location
2396 Friendship Church Rd
Magnolia, KY 42757-7613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Another provider at this address
About NPI 1508607169
Misty Wease's National Provider Identifier is 1508607169, issued on Jun 5, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Magnolia, KY. The record was last updated on Jun 5, 2024.