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General NPI Number Information
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NPI Number | 1780559427
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Entity Type | Organization
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Legal Business Name | REDWOOD SCHOOL AND REHABILITATION CENTER, INC.
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 71 ORPHANAGE RD
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City | FT MITCHELL
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State | KY
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Zip | 41017-3006
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Country | US
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Telephone | 859-331-0880
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Fax | 855-704-1573
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Provider Business Mailing Address
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Address Line | 71 ORPHANAGE RD
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City | FT MITCHELL
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State | KY
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Zip | 41017-3006
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Country | US
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Telephone | 859-331-0880
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Fax | 855-704-1573
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Authorized Official
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Title or Position | CFO
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Name | DONEL AUTIN
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Credential |
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Telephone | 513-377-3628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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