| Manchester Miracles Recovery Center, Llc | |
|
214 Bridge St Manchester KY 40962-1204 | |
| (606) 595-3218 | |
| (606) 215-8372 |
| Full Name | Manchester Miracles Recovery Center, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 214 Bridge St, Manchester, Kentucky |
| Authorized Official Name and Position | Dustin B Phillips (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6065953218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchester Miracles Recovery Center, Llc 214 Bridge St Manchester KY 40962-1204 Ph: (606) 595-3218 | Manchester Miracles Recovery Center, Llc 214 Bridge St Manchester KY 40962-1204 Ph: (606) 595-3218 |
| NPI Number | 1801693411 |
|---|---|
| Provider Enumeration Date | 03/01/2025 |
| Last Update Date | 03/01/2025 |
| Certification Date | 03/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801693411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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