| Land Of Goshen Treatment Center, Inc | |
|
101 Fraley Miller Plz Ste 201 Grayson KY 41143-1561 | |
| (606) 369-0139 | |
| Not Available |
| Full Name | Land Of Goshen Treatment Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Fraley Miller Plz Ste 201, Grayson, Kentucky |
| Authorized Official Name and Position | Rachael L Murphy (OFFICE ADMIN) |
| Authorized Official Contact | 7403570725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Land Of Goshen Treatment Center, Inc 101 Fraley Miller Plz Ste 201 Grayson KY 41143-1561 Ph: () - | Land Of Goshen Treatment Center, Inc 101 Fraley Miller Plz Ste 201 Grayson KY 41143-1561 Ph: (606) 369-0139 |
| NPI Number | 1124815972 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124815972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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