# ADVOCACY & SUPPORT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073677746
- **Authorized official:** MRS. LISA J SAMPSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (270) 234-9236

## Contact information

- **Practice address:** 890 RINEYVILLE RD, ELIZABETHTOWN, KY 42701-8927
- **Practice address phone:** (270) 234-9236
- **Mailing address:** 890 RINEYVILLE RD, ELIZABETHTOWN, KY 42701-8927
- **Mailing address phone:** (270) 234-9236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 13000146 | SPEC CHILDREN SERV | KY |
