Organization
PANTHEON FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA FLETCHER MSSW (PRESIDENT)
(502) 644-4770
Entity
Organization
Contact information
Practice address
2715 ALFORD AVE, LOUISVILLE, KY 40212-1912
(502) 644-4770
Mailing address
2715 ALFORD AVE, LOUISVILLE, KY 40212-1912
(502) 644-4770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3793
KY
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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