| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 1000 Ace Dr, Berea, Kentucky |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Rd Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | 1000 Ace Dr Berea KY 40403-1327 Ph: (859) 756-5006 |
| NPI Number | 1558895631 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558895631 | NPI | - | NPPES |
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