KENTUCKIANA DETOX AND REHAB CENTER – NPI #1548128341
Clinic/Center

KENTUCKIANA DETOX AND REHAB CENTER is an AHC clinic located in CLARKSVILLE, IN. NPPES has assigned the NPI number 1548128341 to KENTUCKIANA DETOX AND REHAB CENTER on January 12, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENTUCKIANA DETOX AND REHAB CENTER below.

NPI Profile for
KENTUCKIANA DETOX AND REHAB CENTER

NPI Number
1548128341
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENTUCKIANA DETOX AND REHAB CENTER
Primary location
4601 MEDICAL PLAZA WAY
CLARKSVILLE, IN 47129-9204
Phone: (732) 967-2635 Fax:
Mailing address
211 BOULEVARD OF THE AMERICAS
SUITE 503
LAKEWOOD, NJ 08701
Phone: Fax:
Organization Subpart
No
Authorized Official
HUDI ALTER
CEO
Phone: (732) 967-2635
Updated
Certification Date
Jan 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.