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Developmental Disabilities Services University Corridor

Community/Behavioral Health in Louisville, KY. Organization (NPI-2).

NPI number1295001030
StatusActive
Last updated in NPPESApr 27, 2017

Details

NPI
1295001030
Entity type
Organization (NPI-2)
Legal business name
Developmental Disabilities Services University Corridor
Organization subpart
No
Enumeration date
Mar 27, 2012
Last updated
Apr 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

5400 Hickory Hill Rd
Louisville, KY 40214-3410

Phone 502-415-5712

Mailing address

5400 Hickory Hill Rd
Louisville, KY 40214-3410

Phone 502-415-5712

Authorized official

Eva J Burch
Executive Director
5024155712

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