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Organization
NC LLC
Active
Organization
NC LLC
Active
Other names
NEW PATHWAY RADCLIFF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE M COHEN (MANAGING MEMBER)
(502) 551-2460
Entity
Organization
Contact information
Practice address
4006 DUTCHMANS LN, LOUISVILLE, KY 40207-4704
(502) 551-2460
Mailing address
4006 DUTCHMANS LN, LOUISVILLE, KY 40207-4704
(502) 551-2460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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