Cleanse Clinic, Psc, NPI 1659726628
Addiction Psychiatry Physician in Louisville, KY, US

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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
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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

2084P0802X

Taxonomy Name Addiction Psychiatry Physician
Classification

Psychiatry & Neurology

Group

Allopathic & Osteopathic Physicians

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.

Business Address

Cleanse Clinic, Psc
9720 Park Plaza Ave
Suite 104

Louisville, KY, US

Phone: 502-938-0511
Fax: 502-371-6110

Mailing Address

Cleanse Clinic, Psc
720 W Broadway Ste 202
Louisville, KY, US
ZIP 402023245
Phone: 502-561-0943
Fax: 502-561-0944

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DO John M Fleming

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