Organization
DEVELOPMENT ACADEMY CORPORATION
Active
Other names
THE SERGEANT'S FISH & DONUT
Organization subpart
No
Provider details
NPI number
Authorized official
GERAIL PICKETT B.S. (ADVISOR)
(502) 802-3070
Entity
Organization
Contact information
Practice address
537 DR W J HODGE ST, LOUISVILLE, KY 40203-1561
(502) 802-3070
Mailing address
2414 ARTHUR ST, JEFFERSONVILLE, IN 47130-9577
(502) 910-1117
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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