Organization
YOUTH OUTREACH INTERVENTION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM Z MUHAMMAD LCPC (PRESIDENT)
(502) 224-6750
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY STE 210, LOUISVILLE, KY 40217-1417
(502) 224-6750
Mailing address
1169 EASTERN PKWY STE 210, LOUISVILLE, KY 40217-1417
(502) 224-6750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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