Cleanse Clinic Jeffersonville Llc is a Addiction Psychiatry Clinic in New Albany, Indiana. This organization is also known as sub part of Cleanse Clinic Corporation. It is located at 1700 State St, New Albany, IN and its contact number is 812-914-7038. The authorized person for Cleanse Clinic Jeffersonville Llc is Abdul G Buridi
who is Ceo of the clinic and his/her contact number is 502-773-5088. The primary license number for Cleanse Clinic Jeffersonville Llc is 1784-0-ASO (Addiction Psychiatry) in Indiana. Cleanse Clinic Jeffersonville Llc Clinic focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Complete Clinic Profile:
Cleanse Clinic Jeffersonville Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Cleanse Clinic Jeffersonville Llc
Specialization:
Addiction Psychiatry
Clinic Address:
1700 State St, New Albany, Indiana, 47150-4916
Phone:
812-914-7038
Fax:
812-748-6035
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Abdul G Buridi
Position:
Ceo
Contact Number:
502-773-5088
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Cleanse Clinic Jeffersonville Llc clinic are as mentioned below.
NPI Number:
1942728472
Parent Organization:
Cleanse Clinic Corporation
NPI Enumeration Date:
05 Sep, 2017
NPI Last Update On:
31 Jan, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cleanse Clinic Jeffersonville Llc are as mentioned below.
Specialization
License Number
State
Status
Addiction Psychiatry
1784-0-ASO
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
300008912
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Cleanse Clinic Jeffersonville Llc at 1700 State St, New Albany, Indiana or can call to book an appointment on 812-914-7038. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.