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Cleanse Clinic, Psc
Addiction Psychiatry Physician in Louisville, Kentucky
NPI 1659726628

Cleanse Clinic, Psc is an Addiction Psychiatry Physician based in Louisville, KY and is specialized in Addiction Psychiatry. Cleanse Clinic, Psc practices in Louisville, KY. The NPI Number for Cleanse Clinic, Psc is 1659726628 and holds a License No. 800212 (Kentucky).

The current practice location address for Cleanse Clinic, Psc is 645 S Roy Wilkins Ave Ste 100, Louisville, KY and can be reached out via phone at 502-583-4092 and via fax at 502-371-6110.

Location: 645 S Roy Wilkins Ave Ste 100, Louisville, KY, 40202-3245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659726628
Provider Name
Cleanse Clinic, Psc
Credential
Provider Entity Type
Organization
Address
645 S Roy Wilkins Ave Ste 100, Louisville, KY, 40202-3245
Phone Number
502-583-4092
Fax Number
502-371-6110
Provider Enumeration Date
04/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100413630 05 KY
institution
Provider Business Practice Location Address Details
Address
645 S Roy Wilkins Ave Ste 100
City
Louisville
State
Kentucky
Zip
40203-2072
Phone Number
502-583-4092
Fax Number
502-371-6110
person
Provider Business Mailing Address Details
Address
645 S Roy Wilkins Ave Ste 100
City
Louisville
State
Kentucky
Zip
40203-2072
Phone Number
502-583-4092
Fax Number
502-371-6110
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
2084P0802X
License No.
800212 (Kentucky)
Definition
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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