OrganizationActive
Community Addiction Recovery LLC
NPI 1356022693 · Addiction Medicine (Preventive Medicine) Physician · Stanton, KY
Provider details
- NPI number
- 1356022693
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Taufik Kassis, Owner
Practice location
436 South Main St
Stanton, KY 40380-2189
Phone: (606) 663-7597
Fax: (606) 663-7652
Mailing address
Po Box 1029
Stanton, KY 40380-1029
Registry dates
- Enumerated
- 2023-07-28
- Last updated
- 2023-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.