Organization
BLUEGRASS MENTAL HEALTH AND MENTAL RETARDATION BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WARE (CEO)
(859) 253-1686
Entity
Organization
Contact information
Practice address
269 E MAIN ST, PARIS, KY 40361-2126
(859) 987-6127
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 987-6127
(859) 473-0498
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1288
KY
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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