Organization
YOURPATH KY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAMILTON LISW (CLINICAL DIRECTOR)
(859) 514-2638
Entity
Organization
Contact information
Practice address
71 CAVALIER BLVD STE 206, FLORENCE, KY 41042-5169
(612) 895-1510
Mailing address
700 RAYMOND AVE STE 130, SAINT PAUL, MN 55114-1778
(612) 895-1510
(833) 201-9490
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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