Organization
BEHAVIORAL HEALTH OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BOSTON (CEO)
(502) 999-7151
Entity
Organization
Contact information
Practice address
2911 IRIS WAY, LOUISVILLE, KY 40220-1234
(502) 999-7151
Mailing address
2911 IRIS WAY, LOUISVILLE, KY 40220-1234
(502) 999-7151
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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