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General NPI Number Information
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NPI Number | 1861255796
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Entity Type | Organization
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Legal Business Name | CRS BEHAVIORAL HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 03/23/2024
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Provider Practice Location Address
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Address Line | 4106 FLINTLOCK DR
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City | LOUISVILLE
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State | KY
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Zip | 40216-1534
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Country | US
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Telephone | 859-652-5689
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Fax | 502-688-6468
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Provider Business Mailing Address
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Address Line | 4106 FLINTLOCK DR
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City | LOUISVILLE
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State | KY
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Zip | 40216-1534
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL YOUNG
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Credential |
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Telephone | 859-652-5689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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