Organization
GOOD SHEPHERD INSTITUTE OF THE BLUEGRASS
Active
Parent organization
FAMILY RENEWAL PROJECT
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY RENEWAL PROJECT
Authorized official
GARRY BURRY CLTC (PRESIDENT)
(502) 244-6820
Entity
Organization
Contact information
Practice address
307 W DIXIE AVE, ELIZABETHTOWN, KY 42701-1701
(502) 632-3249
Mailing address
622 WOODLAKE DR, LOUISVILLE, KY 40245-5121
(502) 303-1996
(502) 562-2500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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