Dagamac Enterprises LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Greenville, KY
NPI 1801047808 · NPPES record last updated Oct 8, 2008
Key facts
- NPI
- 1801047808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- KY-0191 (KY)
- Legal business name
- DAGAMAC ENTERPRISES LLC
- Practice address
- 441 Hopkinsville St
Greenville, KY 42345-1101 - Phone
- (270) 338-2280
- Fax
- (270) 338-0795
- NPI assigned
- Oct 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Darryl Wade McIntosh, CADC, MACA
- Title
- Counselor/Therapist
- Phone
- (270) 338-2280
National Provider Directory
Locations
441 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-5505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | KY-0191 | KY | Yes |
Addresses
Primary practice location
441 Hopkinsville St
Greenville, KY 42345-1101
Mailing address
441 Hopkinsville St
Greenville, KY 42345-1101
Phone (270) 338-2280
Other names
- New Horizons Counseling/Broken Wings Pgm
Other providers in Greenville, KY
- Aubrie Jo Cook
- Cherriee Michellee Cornett
- Guinn Shaw Cost Jr.
- Minerva B Covarrubias
- Katharine S Cox
- De' Andra Destheenia Davis
- Kari Melissa Dechenne
- Emily Diaz
- Diversicare of Greenville, LLC
- Allison Ducoff
All providers in Greenville, KY · Substance Use Disorder Rehabilitation Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2008. 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.