Organization
PERFECT UNITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (CREDENTIALING MANAGER)
(502) 630-2036
Entity
Organization
Contact information
Practice address
3500 CANE RUN RD, LOUISVILLE, KY 40211-1919
(502) 554-4100
(502) 632-1432
Mailing address
3500 CANE RUN RD, LOUISVILLE, KY 40211-1919
(502) 554-4100
(502) 632-1432
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100241950
—
KY
Enumeration date
03/16/2022
Last updated
03/16/2022
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