Organization
COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELLE E KINNE M.S.W. (STAFF THERAPIST/CASE MANAGER)
(812) 537-7382
Entity
Organization
Contact information
Practice address
611 SANTA CLARA VALLEY LN APT 8, CRESTVIEW HILLS, KY 41017-5471
(812) 537-7382
Mailing address
611 SANTA CLARA VALLEY LN APT 8, CRESTVIEW HILLS, KY 41017-5471
(812) 537-7382
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
S.1000210
OH
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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