Organization
KY STEPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL BOAMAH LCSW (CEO)
(270) 320-1101
Entity
Organization
Contact information
Practice address
2865 LAURELSTONE LN, BOWLING GREEN, KY 42104-4784
(270) 202-6804
(270) 846-4887
Mailing address
2865 LAURELSTONE LN, BOWLING GREEN, KY 42104-4784
(270) 202-6804
(270) 846-4887
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
164686
KY
251S00000X
Community/Behavioral Health Agency
Primary
164686
KY
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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