NPI 1083982185

Geraldine Baker Craddock, DMINLCADCLPC

Practitioner Substance Abuse Rehabilitation Facility Lexington, KY

Practice location

Address: 1588 Hill Rise Dr, Lexington, KY 40504-2587
Phone: (859) 255-0890
Fax: (859) 255-0854

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence ADCLAD00225185 (KY)

Other Substance Abuse Rehabilitation Facility providers in Kentucky →

Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X Licence KY-0001 (KY)

Registry record

NPI: 1083982185
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2011
Record last updated: 13 Apr 2016

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.