| Via Dolorosa Recovery Llc | |
|
55 Rodeo Dr Morehead KY 40351-7470 | |
| (606) 784-1142 | |
| (606) 780-0213 |
| Full Name | Via Dolorosa Recovery Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 55 Rodeo Dr, Morehead, Kentucky |
| Authorized Official Name and Position | Chris Mullins (ADMINISTRATOR) |
| Authorized Official Contact | 6067841142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Via Dolorosa Recovery Llc 55 Rodeo Dr Morehead KY 40351-7470 Ph: (606) 784-1142 | Via Dolorosa Recovery Llc 55 Rodeo Dr Morehead KY 40351-7470 Ph: (606) 784-1142 |
| NPI Number | 1750100384 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750100384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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