Organization
ST. JOHN CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NOONAN LCSW, CADC (ASSOCIATE DIRECTOR)
(502) 568-6758
Entity
Organization
Contact information
Practice address
700 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1643
(502) 568-6758
Mailing address
700 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1643
(502) 568-6758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/16/2022
Last updated
06/20/2022
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