| Raven Rock Wellness Center Llc | |
|
221 Halls Rd Stanton KY 40380-2027 | |
| (606) 775-0515 | |
| (606) 552-0964 |
| Full Name | Raven Rock Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 221 Halls Rd, Stanton, Kentucky |
| Authorized Official Name and Position | Dana Conn (MEMBER) |
| Authorized Official Contact | 6067750515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Rock Wellness Center Llc 221 Halls Rd Stanton KY 40380-2027 Ph: (606) 775-0515 | Raven Rock Wellness Center Llc 221 Halls Rd Stanton KY 40380-2027 Ph: (606) 775-0515 |
| NPI Number | 1114632577 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114632577 | NPI | - | NPPES |
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