NPI 1194456962
Unbound Life LLC
Practice location
- Address
- 100 Par Ln STE 102, Elizabethtown, KY 42701-9059
- Phone
- (270) 506-3385
Authorised official
- Name
- Cameron Vance
- Title
- Administrator
- Phone
- (270) 320-2605
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Clinical Social Worker
Registry record
- NPI
- 1194456962
- Entity type
- Organization
- NPI issued
- 22 Jun 2022
- Record last updated
- 10 Jan 2023
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.