| Kccs, Llc | |
|
102 S 1st St Nicholasville KY 40356-1526 | |
| (859) 887-0325 | |
| (859) 887-2831 |
| Full Name | Kccs, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 102 S 1st St, Nicholasville, Kentucky |
| Authorized Official Name and Position | Mary Henderson (PROGRAM AMINISTRATOR) |
| Authorized Official Contact | 8598870325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kccs, Llc 102 S 1st St Nicholasville KY 40356-1526 Ph: (859) 887-0325 | Kccs, Llc 102 S 1st St Nicholasville KY 40356-1526 Ph: (859) 887-0325 |
| NPI Number | 1538454020 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538454020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 101YA0400X (Kentucky) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 324500000X (Kentucky) | Secondary |
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