Organization · Type 2 NPI

Kentuckiana Detox and Rehab Center

Substance Abuse Rehabilitation Facility · Clarksville, IN

NPI number 1730846817 Active

Practice location

4601 Medical Plaza Way
Clarksville, IN 47129-9204

Mailing address

1600 Avenue Of The States Ste 700
Lakewood, NJ 08701-4909

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1730846817

Kentuckiana Detox and Rehab Center's National Provider Identifier is 1730846817, issued on Nov 23, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Clarksville, IN. The record was last updated on May 7, 2026.