| Rosenwald Life Center | |
|
612 E Dixie Ave Elizabethtown KY 42701-1077 | |
| (270) 982-7378 | |
| Not Available |
| Full Name | Rosenwald Life Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 612 E Dixie Ave, Elizabethtown, Kentucky |
| Authorized Official Name and Position | William B Young (OWNER) |
| Authorized Official Contact | 2707659478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosenwald Life Center Po Box 6098 Elizabethtown KY 42702-6098 Ph: (606) 341-0834 | Rosenwald Life Center 612 E Dixie Ave Elizabethtown KY 42701-1077 Ph: (270) 982-7378 |
| NPI Number | 1710511456 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710511456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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