# DUAL RECOVERY CENTER

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

## Provider details

- **NPI number:** 1851497143
- **Authorized official:** MR. JOHN COWAN WARNER LCSW (OWNER)
- **Authorized official phone:** (502) 637-1000

## Contact information

- **Practice address:** 1272 CLAY ST, LOUISVILLE, KY 40203
- **Practice address phone:** (502) 637-1000
- **Practice address fax:** (502) 637-9111
- **Mailing address:** 1272 CLAY ST, LOUISVILLE, KY 40203
- **Mailing address phone:** (502) 637-1000
- **Mailing address fax:** (502) 637-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1848 | KY | Yes |
| 1041C0700X | Clinical Social Worker | 34004385A | IN | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020