NPI 1700264918
Commonwealth Counseling Centers LLC
Practice location
- Address
- 156 N Lake Dr, Prestonsburg, KY 41653-1270
- Phone
- (606) 506-5077
- Fax
- (606) 506-5039
- Mailing address
- PO Box 636, Prestonsburg, KY 41653
Authorised official
- Name
- Benjamin Dorsey Ferguson
- Title
- Clinical Director/Supervisor
- Phone
- (606) 506-5077
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1700264918
- Entity type
- Organization
- NPI issued
- 8 May 2015
- Record last updated
- 17 Mar 2018
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.