ROSENWALD LIFE CENTER NPI 1710511456

NPI Information

NPI: 1710511456
Provider Name: ROSENWALD LIFE CENTER
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 18D2282283

Address:
612 E DIXIE AVE
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 982-7378
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ROSENWALD LIFE CENTER is an addiction (substance use disorder) counselor in Elizabethtown, KY. ROSENWALD LIFE CENTER NPI is 1710511456. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

612 E DIXIE AVE
ELIZABETHTOWN, KY
ZIP 42701-077
Phone: (270) 982-7378

The provider's authorized official is William B Young .
The authorized official title is Owner and has the following contact phone number (270) 765-9478.

The CLIA number assigned to this NPI record is 18D2282283 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2020 and was last updated on 2/15/2024.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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: 4/28/2024

NPI Synchronization or Removal

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