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NPI 1003115940 · Community/Behavioral Health Agency · Louisville, KY
Provider details
- NPI number
- 1003115940
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- David Mcdonald, Cfo(502) 596-1039
- License
- 740143 (KY)
Specialties & taxonomies
Agencies
Ambulatory Health Care Facilities
Practice location
1100 E Market St
Louisville, KY 40206-1838
Phone: (502) 596-1088
Fax: (502) 596-1449
Approximate (ZIP-level) locationGet directions
Mailing address
1100 E Market St
Louisville, KY 40206-1838
Registry dates
- Enumerated
- 2011-03-17
- Last updated
- 2025-05-01
- Certified
- 2025-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.