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Organization

NEXT LEVEL SUPPORTIVE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ELIJAH J CARRADINE (EXECUTIVE DIRECTOR)
(502) 526-8256
Entity
Organization

Contact information

Practice address
1407 BELMAR DR, LOUISVILLE, KY 40213-1703
(502) 526-8256
Mailing address
1407 BELMAR DR, LOUISVILLE, KY 40213-1703
(502) 526-8256

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/30/2022
Last updated
01/15/2025
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