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Organization
FAMILY AND CHILDREN'S PLACE
Active
Organization
FAMILY AND CHILDREN'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRISEYDA ALAS CSW, LSW (FAMILY THERAPIST)
(502) 893-3900
Entity
Organization
Contact information
Practice address
100 W COURT AVE STE 102, JEFFERSONVILLE, IN 47130-3532
(502) 893-3900
Mailing address
100 W COURT AVE STE 102, JEFFERSONVILLE, IN 47130-3532
(502) 893-3900
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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