OrganizationActive
Cleanse Clinic Jeffersonville LLC
NPI 1942728472 · Addiction Psychiatry Physician · New Albany, IN
Provider details
- NPI number
- 1942728472
- Entity type
- Organization
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Cleanse Clinic Corporation
- Organization subpart
- Yes
- Authorized official
- Abdul Buridi, Ceo(502) 773-5088
- License
- 1784-0-ASO (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1700 State St
New Albany, IN 47150-4916
Phone: (812) 914-7038
Fax: (812) 748-6035
Approximate (ZIP-level) locationGet directions
Mailing address
720 W Broadway Ste 202
Louisville, KY 40202-3245
Registry dates
- Enumerated
- 2017-09-05
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.