Organization
COGNITIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH DIX (CEO)
(502) 541-1080
Entity
Organization
Contact information
Practice address
309 PALAZZO CIR APT 210, LOUISVILLE, KY 40222-5697
(502) 665-1905
Mailing address
309 PALAZZO CIR APT 210, LOUISVILLE, KY 40222-5697
(502) 665-1905
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
12/15/2024
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