Organization
GERALD'S WAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT STAHR (BOARD MEMBER)
(502) 631-7621
Entity
Organization
Contact information
Practice address
4805 COFER AVE, LOUISVILLE, KY 40258-1337
(502) 631-7621
Mailing address
4805 COFER AVE, LOUISVILLE, KY 40258-1337
(502) 631-7621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2024
Last updated
11/21/2024
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