Organization
FATHER MALONEY'S BOYS' HAVEN, INC.
Active
Other names
Boys and Girls Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH ERIC SWETNAM LCSW (PROGRAM DIRECTOR)
(502) 458-1171
Entity
Organization
Contact information
Practice address
2301 GOLDSMITH LANE, LOUISVILLE, KY 40218-1018
(502) 458-1171
(502) 451-2161
Mailing address
2301 GOLDSMITH LANE, LOUISVILLE, KY 40218-1018
(502) 458-1171
(502) 451-2161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
251B00000X
Case Management Agency
—
KY
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
253J00000X
Foster Care Agency
500449
KY
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
500006
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29100229
—
KY
05
—
29200227
—
KY
05
—
7100272600
—
KY
Enumeration date
03/29/2012
Last updated
12/05/2023
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