Provider Demographics
NPI:1316332067
Name:THE RECOVERY CENTER, LLC
Entity type:Organization
Organization Name:THE RECOVERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BURNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-666-8404
Mailing Address - Street 1:1550 HIGHWAY 15 S STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:KY
Mailing Address - Zip Code:41339-7247
Mailing Address - Country:US
Mailing Address - Phone:606-666-6840
Mailing Address - Fax:606-666-8414
Practice Address - Street 1:1550 HIGHWAY 15 S STE 200
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:KY
Practice Address - Zip Code:41339-7247
Practice Address - Country:US
Practice Address - Phone:606-666-6840
Practice Address - Fax:606-666-8414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty