| White Owl Recovery | |
|
8699 S Us Highway 25 Corbin KY 40701-4973 | |
| (859) 229-4647 | |
| Not Available |
| Full Name | White Owl Recovery |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 8699 S Us Highway 25, Corbin, Kentucky |
| Authorized Official Name and Position | Stacey Montgomery (MANAGING PARTNER) |
| Authorized Official Contact | 8592294647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Owl Recovery 1024 Greendale Rd Unit 2103 Lexington KY 40511-8320 Ph: (859) 229-4647 | White Owl Recovery 8699 S Us Highway 25 Corbin KY 40701-4973 Ph: (859) 229-4647 |
| NPI Number | 1043950322 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043950322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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