| New Pathway Radcliff | |
|
4006 Dutchmans Ln Louisville KY 40207-4704 | |
| (502) 551-2460 | |
| Not Available |
| Full Name | New Pathway Radcliff |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4006 Dutchmans Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Bruce M Cohen (MANAGING MEMBER) |
| Authorized Official Contact | 5025512460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Pathway Radcliff 4006 Dutchmans Ln Louisville KY 40207-4704 Ph: (502) 551-2460 | New Pathway Radcliff 4006 Dutchmans Ln Louisville KY 40207-4704 Ph: (502) 551-2460 |
| NPI Number | 1245590504 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245590504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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