Organization
MERCLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MERCER (DIRECTOR)
(502) 241-2909
Entity
Organization
Contact information
Practice address
6200 CRESTWOOD STA STE A, CRESTWOOD, KY 40014-7418
(501) 242-2909
Mailing address
6200 CRESTWOOD STA STE A, CRESTWOOD, KY 40014-7418
(501) 242-2909
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251000000
KY
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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