Alcohol & Drug Abuse Prevention & Treatment Specialties, LLC
Organization Active NPI Community/Behavioral Health Agency · Ivel, KY
NPI 1144637232 · NPPES record last updated Jul 21, 2014
Key facts
- NPI
- 1144637232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ALCOHOL & DRUG ABUSE PREVENTION & TREATMENT SPECIALTIES, LLC
- Practice address
- 4963 US Hwy 23 N
Suite 121
Ivel, KY 41642 - Phone
- (606) 653-1505
- NPI assigned
- Jul 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Eugene Sisco III
- Title
- Administrator
- Phone
- (606) 653-1503
Subparts reporting this organization as parent 1
Practitioners 1
-
Vikki Bonyata, MA/M.ED/CADC/LPCC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
4963 US Hwy 23 N
Suite 121
Ivel, KY 41642
Mailing address
PO Box 678
Betsy Layne, KY 41605
Phone (606) 653-1505
Other names
- RENEW Addiction Treatment
Other providers in Ivel, KY
All providers in Ivel, KY · Community/Behavioral Health Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.