Kentuckiana Detox and Rehab Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

KENTUCKIANA DETOX AND REHAB CENTER

Practice address

4601 Medical Plaza Way
Clarksville, IN 47129-9204

Phone

(732) 967-2635

NPI assigned

Jan 12, 2026

Last updated

Jan 12, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hudi Alter

Title

Ceo

Phone

(732) 967-2635

Specialties & licenses 1

Addresses

Tax ID family

Avenues Recovery Center at Kentuckiana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kentuckiana Detox and Rehab Center

  dba Avenues Recovery Center at Kentuckiana

  • Substance Abuse Rehabilitation Facility
  • Clarksville, IN
  • NPI 1730846817
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1548128341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BOULEVARD OF THE AMERICAS",
            "address_2": "SUITE 503",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MEDICAL PLAZA WAY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471299204",
            "telephone_number": "732-967-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA DETOX AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "HUDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-967-2635"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Justice
• Jessica Dawn Justice, MA, BCBA, LBA (KY)
• Valerie F Kaelin, LSW
• Isabella Kamman
• Natalie Joyce Keller
• Kentuckiana Detox and Rehab Center (Avenues Recovery Center at Kentuckiana)
• Kentuckiana Medical Center LLC
• Kentuckiana Motion X-Ray, Inc.
• Savanna Kessinger
• Nathan Key

• Substance Use Disorder Rehabilitation Clinic/Center in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.