Organization
GREEN HOUSE FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE SANDERS (CREDENTIALING ADMINISTRATOR)
(502) 630-2036
Entity
Organization
Contact information
Practice address
717 W MARKET ST STE 1, LOUISVILLE, KY 40202-2755
(502) 855-3290
Mailing address
717 W MARKET ST STE 1, LOUISVILLE, KY 40202-2755
(502) 855-3290
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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