RESURRECTION TREATMENT CLINICS LLC NPI 1548633415

NPI Information

RESURRECTION TREATMENT CLINICS LLC is an addiction medicine internal medicine in Lexington, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. RESURRECTION TREATMENT CLINICS LLC NPI is 1548633415. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1718 ALEXANDRIA DR
SUITE 101
LEXINGTON, KY
ZIP 40504-144
Phone: (859) 983-0678
Fax: (859) 263-1312

The provider's authorized official is Lawrence York .
The authorized official title is Owner and has the following contact phone number (859) 276-1015.

The CLIA number assigned to this NPI record is 18D2111947 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2015 and was last updated on 3/27/2017.

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:

Other Identifiers

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