NPI: 1427639608
Provider Name: BAYMARK HEALTH SERVICES OF KENTUCKY, INC.
Doing Business As: MEDMARK TREATMENT CENTERS LOUISVILLE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 18D2169460
Address:
4922 POPLAR LEVEL RD
LOUISVILLE, KY
ZIP 40219
Phone: (502) 434-4466
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BAYMARK HEALTH SERVICES OF KENTUCKY, INC. is a rehabilitation and substance use disorder clinic center in Louisville, KY. BAYMARK HEALTH SERVICES OF KENTUCKY, INC. NPI is 1427639608. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Louisville.
The provider's business location address is:
4922 POPLAR LEVEL RD
LOUISVILLE, KY
ZIP 40219-128
Phone: (502) 434-4466
Fax: (502) 434-4467
The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3330.
The CLIA number assigned to this NPI record is 18D2169460 - other - narcotic treatment center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/19/2021 and was last updated on 2/13/2024.