NKY MED, LLC

COVINGTON, KY
NPI1962847475
Entity TypeOrganization
Authorized ContactGARY DAVID GAVORNIK
Director Of Development
908-619-0346
Organization Subpart ?No
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
Enumeration Date2013-05-10
Last Update Date2013-05-10