Organization
GET CLEAN ONLINE-COM
Active
Other names
Stay Clean
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE GILCHRIST (CEO)
(502) 681-6964
Entity
Organization
Contact information
Practice address
900 S 5TH ST UNIT 308, LOUISVILLE, KY 40203-4216
(502) 861-6661
Mailing address
900 S 5TH ST UNIT 308, LOUISVILLE, KY 40203-4216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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