| Family Care Center Clinic | |
|
1135 Red Mile Pl Lexington KY 40504-1172 | |
| (859) 288-4097 | |
| Not Available |
| Full Name | Family Care Center Clinic |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1135 Red Mile Pl, Lexington, Kentucky |
| Authorized Official Name and Position | Tom Young (MEDICAL CENTER DIRECTOR) |
| Authorized Official Contact | 8592884057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center Clinic 1135 Red Mile Pl Lexington KY 40504-1172 Ph: (859) 288-4097 | Family Care Center Clinic 1135 Red Mile Pl Lexington KY 40504-1172 Ph: (859) 288-4097 |
| NPI Number | 1154579050 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154579050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 3109 (Kentucky) | Primary |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
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Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
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