4TH DIMENSION TREATMENT CENTER NPI 1184468183

NPI Information

  • NPI: 1184468183
  • Provider Name: 4TH DIMENSION TREATMENT CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 18D2308094
  • Address: 152 HIGHWAY 990
    COALGOOD, KY
    ZIP 40818
  • Phone: (606) 273-2134

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NPI Details

4TH DIMENSION TREATMENT CENTER is a substance abuse rehabilitation facility in Coalgood, KY. The provider is 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. 4TH DIMENSION TREATMENT CENTER NPI is 1184468183. The provider is registered as an organization entity type.

The provider's business location address is:

152 HIGHWAY 990
COALGOOD, KY
ZIP 40818-001
Phone: (606) 273-2134

The provider's authorized official is Jennifer Leann Witt .
The authorized official title is Ceo and has the following contact phone number (606) 273-2134.

The CLIA number assigned to this NPI record is 18D2308094 - other - sud treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2024 and was last updated on 6/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1800453MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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