Cleanse Clinic, Psc, NPI 1659726628
Addiction Psychiatry Physician in Louisville, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1659726628 |
| NPI Entity Type | Organization |
| Provider Name | Cleanse Clinic, Psc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 9720 Park Plaza Ave, Suite 104, Louisville, KY, US |
| Provider Mailing Address | 720 W Broadway Ste 202, Louisville, KY, US, 402023245 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Margaret Groll |
| Official Position | BUSINESS MANAGER |
| Phone | 502-561-0943 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Addiction Psychiatry Physician |
| Classification | |
| Group | |
| License No. | 800212 |
| License State | KY |
| Description | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
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DO John M Fleming Individual |
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