Organization
DUAL RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COWAN WARNER LCSW (OWNER)
(502) 637-1000
Entity
Organization
Contact information
Practice address
1272 CLAY ST, LOUISVILLE, KY 40203
(502) 637-1000
(502) 637-9111
Mailing address
1272 CLAY ST, LOUISVILLE, KY 40203
(502) 637-1000
(502) 637-9111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1848
KY
1041C0700X
Clinical Social Worker
34004385A
IN
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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