NPI 1063601425

Lifeskills

Organisation Community/Behavioral Health Agency Bowling Green, KY

Practice location

Address: 380 Suwannee Trail St, Bowling Green, KY 42103-7956
Phone: (270) 901-5000
Fax: (270) 842-5268

Authorised official

Name: Joe Dan Beavers
Title: Ceo
Phone: (270) 901-5000

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 800004 (KY)

Other Community/Behavioral Health providers in Kentucky →

Registry record

NPI: 1063601425
Entity type: Organization
NPI issued: 22 Oct 2007
Record last updated: 12 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.