NPI: 1972075844
Provider Name: LANDMARK RECOVERY OUTPATIENT SERVICES LLC
Doing Business As: LANDMARK RECOVERY OF LEXINGTON
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 18D2164488
Address:
1510 NEWTOWN PIKE STE 120
LEXINGTON, KY
ZIP 40511
Phone: (888) 448-0302
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LANDMARK RECOVERY OUTPATIENT SERVICES LLC is a rehabilitation and substance use disorder clinic center in Lexington, KY. LANDMARK RECOVERY OUTPATIENT SERVICES LLC NPI is 1972075844. The provider is registered as an organization entity type.
The provider Is Doing Business As Landmark Recovery Of Lexington.
The provider's business location address is:
1510 NEWTOWN PIKE STE 120
LEXINGTON, KY
ZIP 40511-255
Phone: (888) 448-0302
The provider's authorized official is Nicholas James Losole .
The authorized official title is President and has the following contact phone number (480) 550-2163.
The CLIA number assigned to this NPI record is 18D2164488 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/17/2018 and was last updated on 4/29/2019.