Organization
KENTUCKIANA DETOX AND REHAB CENTER
Active
Organization
KENTUCKIANA DETOX AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUDI ALTER (CEO)
(732) 967-2635
Entity
Organization
Contact information
Practice address
4601 MEDICAL PLAZA WAY, CLARKSVILLE, IN 47129-9204
(732) 967-2635
Mailing address
211 BOULEVARD OF THE AMERICAS, SUITE 503, LAKEWOOD, NJ 08701
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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