Organization
EXODUS SCHOLAR HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MONYALLE SWAIN (CEO)
(502) 544-5912
Entity
Organization
Contact information
Practice address
2617 W BROADWAY, LOUISVILLE, KY 40211-1332
(502) 544-5912
(502) 333-0906
Mailing address
2617 W BROADWAY, LOUISVILLE, KY 40211-1332
(502) 544-5912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/05/2024
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