Organization
FAMILY & CHILDREN FIRST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK MCQUADE (DIRECTOR OF FINANCE)
(502) 893-3900
Entity
Organization
Contact information
Practice address
209 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 895-4671
(502) 893-3251
Mailing address
2303 RIVER RD STE 200, LOUISVILLE, KY 40206-5004
(502) 893-3900
(502) 893-9646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224164
ANTHEM
KY
05
—
13000088
—
KY
Enumeration date
11/17/2006
Last updated
08/22/2020
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