Cleanse Clinic, Pllc
NPI #1659726628 in Louisville, Kentucky
Provider Information
- NPI Number
- 1659726628
- Entity Type
- Organization
- Organization Name
- Cleanse Clinic, Pllc
- Primary Specialty
- Psychiatry & Neurology - Addiction Psychiatry
- Enumeration Date
- Apr 27, 2016
- Last Updated
- Aug 13, 2024
Practice Location
- Address
- 645 S ROY WILKINS AVE STE 100
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40203-2072
- Phone
- (502) 583-4092
Authorized Official
- Name
- MARGARET GROLL
- Title
- BUSINESS MANAGER
- Phone
- (812) 987-4330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Addiction Psychiatry — Addiction Psychiatry |
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