Resurrection Treatment Clinics Llc

LBN: Resurrection Treatment Clinics Llc
Resurrection Treatment Clinics Llc is an health care organization with primary practice located at 1718 Alexandria Dr Suite 101, Lexington KY 40504-3144. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Resurrection Treatment Clinics Llc can be contacted via phone (859) 983-0678, or through York, Lawrence via phone (859) 276-1015.

Contact Information

Primary practice address
1718 Alexandria Dr Suite 101 Lexington KY 40504-3144
Phone: (859) 983-0678
Fax: (859) 263-1312
Website:
Map and Directions
Authorized official contact:
Name: York, Lawrence
Phone: (859) 276-1015

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X

Profile Details

NPI number 1548633415
LBN Legal business name Resurrection Treatment Clinics Llc
DBA Doing business as
Authorized official York, Lawrence
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2015
Last updated Mar 27th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548633415 NPPES
Kentucky MEDICAID 7100382530

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