Organization
STS ENTERPRISE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (CREDENTIALING ADMINISTRATOR)
(502) 630-2036
Entity
Organization
Contact information
Practice address
101 N 7TH ST # 145, LOUISVILLE, KY 40202-2924
(812) 989-9736
(502) 632-1432
Mailing address
101 N 7TH ST # 145, LOUISVILLE, KY 40202-2924
(812) 989-9736
(502) 632-1432
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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