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PINNACLE TREATMENT CENTERS KY-1 LLC NPI 1881063287


NPI Information

NPI: 1881063287
Provider Name: PINNACLE TREATMENT CENTERS KY-1, LLC

Doing Business As: RECOVERY WORKS ELIZABETHTOWN

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 18D2021061

Address:
100 DIECKS DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 982-1244
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PINNACLE TREATMENT CENTERS KY-1, LLC is a substance abuse rehabilitation facility in Elizabethtown, 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. PINNACLE TREATMENT CENTERS KY-1, LLC NPI is 1881063287. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Recovery Works Elizabethtown.

The provider's business location address is:

100 DIECKS DR
ELIZABETHTOWN, KY
ZIP 42701-443
Phone: (270) 982-1244

The provider's authorized official is Robyn Tanis .
The authorized official title is Executive Director Of Contract Mgmt and has the following contact phone number (856) 533-8762.

The CLIA number assigned to this NPI record is 18D2021061 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 3/18/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist800174KENTUCKYNo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder800174KENTUCKYNo
3324500000XSubstance Abuse Rehabilitation Facility800174KENTUCKYYes

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

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