# RESURRECTION TREATMENT CLINICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548633415
- **Authorized official:** LAWRENCE YORK (OWNER)
- **Authorized official phone:** (859) 276-1015

## Contact information

- **Practice address:** 1718 ALEXANDRIA DR, SUITE 101, LEXINGTON, KY 40504-3144
- **Practice address phone:** (859) 983-0678
- **Practice address fax:** (859) 263-1312
- **Mailing address:** 7145 E VIRGINIA ST STE 2000, EVANSVILLE, IN 47715-9147
- **Mailing address phone:** (812) 962-7894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 10/09/2024
