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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