Organization
LIFEWORKS OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOSTER BEEUWKES (CONTRACT MANAGER)
(502) 326-4141
Entity
Organization
Contact information
Practice address
1531 ORMSBY STATION CT, LOUISVILLE, KY 40223-4019
(502) 326-4141
(502) 326-4188
Mailing address
PO BOX 6381, LOUISVILLE, KY 40206-0381
(502) 326-4141
(502) 326-4188
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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