Organization
RESURRECTION TREATMENT CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE YORK (OWNER)
(859) 276-1015
Entity
Organization
Contact information
Practice address
1718 ALEXANDRIA DR, SUITE 101, LEXINGTON, KY 40504-3144
(859) 983-0678
(859) 263-1312
Mailing address
7145 E VIRGINIA ST STE 2000, EVANSVILLE, IN 47715-9147
(812) 962-7894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100382530
—
KY
Enumeration date
11/02/2015
Last updated
10/09/2024
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