Whalio Doctors

NPI 1194456962

Unbound Life LLC

Organisation Substance Abuse Rehabilitation Facility Elizabethtown, KY

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
Residential Treatment Facilities Taxonomy 324500000X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X

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.