WHITE OWL RECOVERY NPI 1043950322

NPI Information

WHITE OWL RECOVERY is an addiction medicine psychiatry neurology in Corbin, KY. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine WHITE OWL RECOVERY NPI is 1043950322. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8699 S US HIGHWAY 25
CORBIN, KY
ZIP 40701-973
Phone: (859) 229-4647

The provider's authorized official is Stacey Montgomery .
The authorized official title is Managing Partner and has the following contact phone number (859) 229-4647.

The enumeration date for this NPI number is 4/1/2022 and was last updated on 4/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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