Organization
ALTERNATIVE SERVICES FOR INDIVIDUALS
Active
Organization
ALTERNATIVE SERVICES FOR INDIVIDUALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK DAVIS (EXECUTIVE DIRECTOR)
(502) 493-2512
Entity
Organization
Contact information
Practice address
3924 BARDSTOWN RD, LOUISVILLE, KY 40218-2610
(502) 493-2512
(502) 493-2513
Mailing address
PO BOX 991234, LOUISVILLE, KY 40269-1234
(502) 314-8481
(502) 493-4621
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000712
—
KY
Enumeration date
02/26/2007
Last updated
03/11/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up