institution
Cleanse Clinic Jeffersonville Llc
Addiction Psychiatry Physician in New Albany, Indiana
NPI 1942728472

Cleanse Clinic Jeffersonville Llc is an Addiction Psychiatry Physician based in Louisville, IN and is specialized in Addiction Psychiatry. Cleanse Clinic Jeffersonville Llc practices in New Albany, IN. The NPI Number for Cleanse Clinic Jeffersonville Llc is 1942728472 and holds a License No. 1784-0-ASO (Indiana).

The current practice location address for Cleanse Clinic Jeffersonville Llc is 1700 State St, New Albany, IN and can be reached out via phone at 812-914-7038 and via fax at 812-748-6035.

Location: 1700 State St, New Albany, IN, 40202-3245
institution
Provider Profile Details
NPI Number
1942728472
Provider Name
Cleanse Clinic Jeffersonville Llc
Credential
Provider Entity Type
Organization
Address
1700 State St, New Albany, IN, 40202-3245
Phone Number
812-914-7038
Fax Number
812-748-6035
Provider Enumeration Date
09/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300008912 05 IN
institution
Provider Business Practice Location Address Details
Address
1700 State St
City
State
Zip
47150-4916
Phone Number
812-914-7038
Fax Number
812-748-6035
person
Provider Business Mailing Address Details
Address
1700 State St
City
State
Zip
47150-4916
Phone Number
812-914-7038
Fax Number
812-748-6035
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
License No.
1784-0-ASO (Indiana)
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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