Organization
ROSENWALD LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B YOUNG (OWNER)
(270) 765-9478
Entity
Organization
Contact information
Practice address
612 E DIXIE AVE, ELIZABETHTOWN, KY 42701-1077
(270) 982-7378
Mailing address
PO BOX 6098, ELIZABETHTOWN, KY 42702-6098
(606) 341-0834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
02/15/2024
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