Organization
A BRAND NEW DAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRISTY SHERYLL KINCER (EXECUTIVE DIRECTOR)
(859) 248-6751
Entity
Organization
Contact information
Practice address
213 W BLAIR AVE, RICHMOND, KY 40475-1003
(859) 248-6751
Mailing address
213 W BLAIR AVE, RICHMOND, KY 40475-1003
(859) 248-6751
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
08/06/2008
Last updated
08/06/2008
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