NPI 1396567723
Time to Surrender
Practice location
- Address
- 109 Parkway Dr, Elizabethtown, KY 42701
- Phone
- (270) 401-6611
- Fax
- (270) 982-1315
- Mailing address
- PO Box 1086, Elizabethtown, KY 42702-1086
Authorised official
- Name
- Jarutha Barnett
- Title
- Ceo
- Phone
- (270) 401-6611
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1396567723
- Entity type
- Organization
- NPI issued
- 28 Oct 2024
- Record last updated
- 28 Oct 2024
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.