Organization · Type 2 NPI
Cleanse Clinic Jeffersonville LLC
Addiction Psychiatry Physician · New Albany, IN
Practice location
1700 State St
New Albany, IN 47150-4916
Fax (812) 748-6035
Mailing address
720 W Broadway Ste 202
Louisville, KY 40202-3245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Psychiatry Physician Primary | 2084P0802X | 1784-0-ASO (IN) |
Addiction Psychiatry Physician: 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.
2 other providers at this address
About NPI 1942728472
Cleanse Clinic Jeffersonville LLC's National Provider Identifier is 1942728472, issued on Sep 5, 2017. The primary taxonomy on file is Addiction Psychiatry Physician (2084P0802X), and the practice location is in New Albany, IN. The record was last updated on Jan 31, 2024.