National Provider Identifier Database

4TH DIMENSION TREATMENT CENTER
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

4TH DIMENSION TREATMENT CENTER
152 HIGHWAY 990
COALGOOD, KY40818-5001
Phone: 606-273-2134
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Adult Mental Health 261QM0850X
Case Management 251B00000X
Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for 4TH DIMENSION TREATMENT CENTER

NPI Number 1184468183
Legal business name
LBN
4TH DIMENSION TREATMENT CENTER
Authorized official JENNIFER WITT - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/24/2024
Last updated 06/24/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 800453

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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