Organization
AIM KENTUCKY LLC
Active
Other names
AIM
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN ANDERSON (DIRECTOR)
(757) 790-0116
Entity
Organization
Contact information
Practice address
312 S 4TH ST, LOUISVILLE, KY 40202-3021
(502) 213-5590
Mailing address
312 S 4TH ST, LOUISVILLE, KY 40202-3021
(502) 213-5590
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800380
—
KY
Enumeration date
10/06/2021
Last updated
10/06/2021
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