Organization
CARDINAL TREATMENT CENTERS KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT SHKLYAR (OFFICER)
(516) 343-2772
Entity
Organization
Contact information
Practice address
378 DIEDERICH BLVD, SUITE 177, ASHLAND, KY 41101
(516) 343-2772
Mailing address
96 LINWOOD PLAZA, RT 9W, SUITE 303, FORT LEE, NJ 07024
(201) 398-5185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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