| Organization Name: | ASAP ADDICTION TREATMENT LLC |
| NPI Number: | 1508254087 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EUGENE SISCO (ADMINISTRATOR) |
| Mailing Address: | 282 S Mayo Trl Pikeville |
| State: | KY US |
| Postal Code: | 415011520 |
| Phone Number: | 6064370097 |
| Fax Number: | 6066570205 |
| NPI Enumeration Date: | 01/06/2015 |
| NPI Last Update Date: | 01/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |