Organization
CHRISTIAN CARE COMMUNITIES, INC.
Active
Other names
Pathways of Northern Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W RICHARD MARSHALL (VICE PRESIDENT CFO)
(502) 254-4200
Entity
Organization
Contact information
Practice address
8172 MALL RD, SUITE 231, FLORENCE, KY 41042-1499
(859) 372-5600
Mailing address
12700 SHELBYVILLE RD, THE CUMBERLAND BUILDING, LOUISVILLE, KY 40243-1576
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
33000043
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000043
—
KY
Enumeration date
03/22/2007
Last updated
08/22/2020
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