Organization
BLUEGRASS TRAINING AND THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA BOWEN (PROGRAM DIRECTOR)
(502) 939-0278
Entity
Organization
Contact information
Practice address
10214 PLAUDIT WAY, LOUISVILLE, KY 40272-3857
(502) 933-7898
(502) 933-7898
Mailing address
10214 PLAUDIT WAY, LOUISVILLE, KY 40272-3857
(502) 933-7898
(502) 933-7898
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
0811
KY
251S00000X
Community/Behavioral Health Agency
Primary
0811
KY
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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